05D2306846 CLIA NUMBER - SUSANNA I CHOU MD

Laboratory Demographics

  • CLIA Code: 05D2306846
  • Facility Name: SUSANNA I CHOU MD
  • Facility Address: 340 4TH AVE #12
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 425-5559
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSANNA I. CHOU
  • NPI Number: 1104889724
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2306846
LAB Type Physician Office
Facility Name SUSANNA I CHOU MD
Street 340 4TH AVE #12
City CHULA VISTA
State CA
ZIP 91910
Phone 619 425-5559
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director SUSANNA I. CHOU

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