05D2274872 CLIA NUMBER - SAN DIEGO COUNTY PUBLIC HEALTH MODULAR LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2274872
  • Facility Name: SAN DIEGO COUNTY PUBLIC HEALTH MODULAR LABORATORY
  • Facility Address: 5587 OVERLAND AVE
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 619 692-8500
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: JEREMY CORRIGAN
  • NPI Number: 1144357948
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2274872
LAB Type Public Health Laboratories
Facility Name SAN DIEGO COUNTY PUBLIC HEALTH MODULAR LABORATORY
Street 5587 OVERLAND AVE
City SAN DIEGO
State CA
ZIP 92123
Phone 619 692-8500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Public Health Laboratories
Lab Director JEREMY CORRIGAN

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This page was last updated on: 3/20/2025