05D2316809 CLIA NUMBER - SAN DIEGO REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2316809
  • Facility Name: SAN DIEGO REHAB LLC
  • Facility Address: 430 NUTMEG ST STE 200
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 310 774-1670
  • Facility Type: Other - IOP
  • Facility Type: Waiver
  • Lab Director: SYDNEY ABRAMSON
  • NPI Number: 1952368482
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2316809
LAB Type Other - IOP
Facility Name SAN DIEGO REHAB LLC
Street 430 NUTMEG ST STE 200
City SAN DIEGO
State CA
ZIP 92103
Phone 310 774-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - IOP
Lab Director SYDNEY ABRAMSON

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