05D2288294 CLIA NUMBER - MD2 LA JOLLA

Laboratory Demographics

  • CLIA Code: 05D2288294
  • Facility Name: MD2 LA JOLLA
  • Facility Address: 4180 LA JOLLA VILLAGE DR SUITE 220
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 321-2150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY ALBERS
  • NPI Number: 1912318023
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2288294
LAB Type Physician Office
Facility Name MD2 LA JOLLA
Street 4180 LA JOLLA VILLAGE DR SUITE 220
City LA JOLLA
State CA
ZIP 92037
Phone 858 321-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director HARRY ALBERS

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