05D2148257 CLIA NUMBER - PROTON DOCTORS PROFESSIONAL CORPORATION CALIFORNIA PROTONS

Laboratory Demographics

  • CLIA Code: 05D2148257
  • Facility Name: PROTON DOCTORS PROFESSIONAL CORPORATION CALIFORNIA PROTONS
  • Facility Address: 9730 SUMMERS RIDGE RD
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 549-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL ROSSI
  • NPI Number: 1093240285
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2148257
LAB Type Physician Office
Facility Name PROTON DOCTORS PROFESSIONAL CORPORATION CALIFORNIA PROTONS
Street 9730 SUMMERS RIDGE RD
City SAN DIEGO
State CA
ZIP 92121
Phone 858 549-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director CARL ROSSI

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This page was last updated on: 9/29/2025