05D2305840 CLIA NUMBER - CENTER FOR THE GENDER AFFIRMING CARE ADOLESCENT MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 05D2305840
  • Facility Name: CENTER FOR THE GENDER AFFIRMING CARE ADOLESCENT MEDICINE CLINIC
  • Facility Address: 7910 FROST STREET SUITE 450
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 866-1700
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DENISE M. MALICKI
  • NPI Number: 1205549946
  • Taxonomy: 261QM0855X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2305840
LAB Type Hospital
Facility Name CENTER FOR THE GENDER AFFIRMING CARE ADOLESCENT MEDICINE CLINIC
Street 7910 FROST STREET SUITE 450
City SAN DIEGO
State CA
ZIP 92123
Phone 858 866-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Hospital
Lab Director DENISE M. MALICKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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