05D2210409 CLIA NUMBER - JESUS H. LAO, MD, INC.

Laboratory Demographics

  • CLIA Code: 05D2210409
  • Facility Name: JESUS H. LAO, MD, INC.
  • Facility Address: 6699 ALVARADO ROAD SUITE 2304
    SAN DIEGO, CA
    ZIP 92120
  • Facility Phone: 619 225-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS LAO
  • NPI Number: 1679031611
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2210409
LAB Type Physician Office
Facility Name JESUS H. LAO, MD, INC.
Street 6699 ALVARADO ROAD SUITE 2304
City SAN DIEGO
State CA
ZIP 92120
Phone 619 225-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director JESUS LAO

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