05D2226689 CLIA NUMBER - CALIFORNIA RETINA ASSOCIATES

Laboratory Demographics

CLIA Number: 05D2226689

Facility Name: CALIFORNIA RETINA ASSOCIATES

Facility Address:
1520 EAST PLAZA BLVD
NATIONAL CITY, CA
ZIP 91950
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Facility Phone Number: 619 352-3314

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821719840

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2226689
LAB Type	Physician Office
Facility Name	CALIFORNIA RETINA ASSOCIATES
Street	1520 EAST PLAZA BLVD
City	NATIONAL CITY
State	CA
ZIP	91950
Phone	619 352-3314
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024