05D2316122 CLIA NUMBER - AXOS URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2316122
  • Facility Name: AXOS URGENT CARE
  • Facility Address: 353 W 9TH AVE
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 832 279-2207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL WANG
  • NPI Number: 1619791860
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2316122
LAB Type Physician Office
Facility Name AXOS URGENT CARE
Street 353 W 9TH AVE
City ESCONDIDO
State CA
ZIP 92025
Phone 832 279-2207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director MICHAEL WANG

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