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05D2290107 CLIA NUMBER - PREMIER LAB SOLUTIONS RICHARD J DONOVAN CORRECTIONAL FACILITY

Laboratory Demographics

CLIA Number: 05D2290107

Facility Name: PREMIER LAB SOLUTIONS RICHARD J DONOVAN CORRECTIONAL FACILITY

Facility Address:
480 ALTA ROAD
SAN DIEGO, CA
ZIP 92179
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Facility Phone Number: 602 441-2808

Facility Type: Prison

Certificate Type: Waiver
NPI Number: 1255041919

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 05D2290107
LAB Type Prison
Facility Name PREMIER LAB SOLUTIONS RICHARD J DONOVAN CORRECTIONAL FACILITY
Street 480 ALTA ROAD
City SAN DIEGO
State CA
ZIP 92179
Phone 602 441-2808
CertificateType 4
CertificateEffectiveDate 9/20/2023
CertificateExpirationDate 9/19/2025
FacilityType Waiver

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