Organization
APPLIED CLINICAL RESEARCH
Active
Organization
APPLIED CLINICAL RESEARCH
Active
Other names
San Diego Reference Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH E GRAAS PHD (PRESIDENT - CEO)
(858) 677-7970
Entity
Organization
Contact information
Practice address
6565 NANCY RIDGE DR, SAN DIEGO, CA 92121
(858) 677-7970
(858) 677-7998
Mailing address
6565 NANCY RIDGE DR, SAN DIEGO, CA 92121-2251
(858) 677-7970
(858) 677-7998
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 4838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32942000
—
WI
05
—
7001273
—
NC
05
—
LAB42965G
—
CA
Enumeration date
12/20/2006
Last updated
08/22/2018
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