05D2167550 CLIA NUMBER - SCRIPPS CLINIC LIBERTY STATION

Laboratory Demographics

  • CLIA Code: 05D2167550
  • Facility Name: SCRIPPS CLINIC LIBERTY STATION
  • Facility Address: 2445 TRUXTUN ROAD, SUITE 200
    SAN DIEGO, CA
    ZIP 92106
  • Facility Phone: 858 554-9642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ALEX V. VO
  • NPI Number: 1275899072
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2167550
LAB Type Physician Office
Facility Name SCRIPPS CLINIC LIBERTY STATION
Street 2445 TRUXTUN ROAD, SUITE 200
City SAN DIEGO
State CA
ZIP 92106
Phone 858 554-9642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director DR. ALEX V. VO

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