05D2156492 CLIA NUMBER - SAN DIEGO SPORTS MEDICINE AND FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2156492
  • Facility Name: SAN DIEGO SPORTS MEDICINE AND FAMILY HEALTH CENTER
  • Facility Address: 2448 HISTORIC DECATUR RD SUITE 130
    SAN DIEGO, CA
    ZIP 92106
  • Facility Phone: 619 398-2960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN ROHRER
  • NPI Number: 1073903423
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2156492
LAB Type Physician Office
Facility Name SAN DIEGO SPORTS MEDICINE AND FAMILY HEALTH CENTER
Street 2448 HISTORIC DECATUR RD SUITE 130
City SAN DIEGO
State CA
ZIP 92106
Phone 619 398-2960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director STEPHEN ROHRER

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