05D2220028 CLIA NUMBER - PETER MANN MD, INC DBA MEDICAL CARE SAN DIEGO

Laboratory Demographics

  • CLIA Code: 05D2220028
  • Facility Name: PETER MANN MD, INC DBA MEDICAL CARE SAN DIEGO
  • Facility Address: 7634 GIRARD AVENUE
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 412-3353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER MANN
  • NPI Number: 1942811260
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2220028
LAB Type Physician Office
Facility Name PETER MANN MD, INC DBA MEDICAL CARE SAN DIEGO
Street 7634 GIRARD AVENUE
City LA JOLLA
State CA
ZIP 92037
Phone 858 412-3353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director PETER MANN

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