05D2295759 CLIA NUMBER - JASON S WILLIS

Laboratory Demographics

  • CLIA Code: 05D2295759
  • Facility Name: JASON S WILLIS
  • Facility Address: 10314 SPRUCE GROVE AVE
    SAN DIEGO, CA
    ZIP 92131
  • Facility Phone: 214 437-7975
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JASON WILLIS
  • NPI Number: 1487857983
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2295759
LAB Type Independent
Facility Name JASON S WILLIS
Street 10314 SPRUCE GROVE AVE
City SAN DIEGO
State CA
ZIP 92131
Phone 214 437-7975
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 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Independent
Lab Director JASON WILLIS

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