05D2163024 CLIA NUMBER - MICHELLE LISKE MD INC

Laboratory Demographics

  • CLIA Code: 05D2163024
  • Facility Name: MICHELLE LISKE MD INC
  • Facility Address: 4340 GENESEE #207
    SAN DIEGO, CA
    ZIP 92117
  • Facility Phone: 858 356-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. LISKE
  • NPI Number: 1558833244
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2163024
LAB Type Physician Office
Facility Name MICHELLE LISKE MD INC
Street 4340 GENESEE #207
City SAN DIEGO
State CA
ZIP 92117
Phone 858 356-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director MICHELLE A. LISKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025