05D2257955 CLIA NUMBER - UPPERLINE HEALTHCARE CALIFORNIA, PC

Laboratory Demographics

CLIA Number: 05D2257955

Facility Name: UPPERLINE HEALTHCARE CALIFORNIA, PC

Facility Address:
5565 GROSSMONT CENTER DR, BLDG 3 STE 510
LA MESA, CA
ZIP 91942
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Facility Phone Number: 619 303-7130

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1093399412

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	05D2257955
LAB Type	Independent
Facility Name	UPPERLINE HEALTHCARE CALIFORNIA, PC
Street	5565 GROSSMONT CENTER DR, BLDG 3 STE 510
City	LA MESA
State	CA
ZIP	91942
Phone	619 303-7130
CertificateType	2
CertificateEffectiveDate	7/11/2023
CertificateExpirationDate	7/10/2025
FacilityType	Compliance

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