05D2273346 CLIA NUMBER - RESTORE SD PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 05D2273346
  • Facility Name: RESTORE SD PLASTIC SURGERY
  • Facility Address: 8899 UNIVERSITY CENTER LANE SUITE 200
    SAN DIEGO, CA
    ZIP 92122
  • Facility Phone: 858 224-2281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATERINA GALLUS
  • NPI Number: 1770020471
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2273346
LAB Type Physician Office
Facility Name RESTORE SD PLASTIC SURGERY
Street 8899 UNIVERSITY CENTER LANE SUITE 200
City SAN DIEGO
State CA
ZIP 92122
Phone 858 224-2281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director KATERINA GALLUS

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