CLIA lab
CLIA 05D0956402: Andrew L Kulik DO
San Diego, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0956402 belongs to Andrew L Kulik DO in San Diego, CA.
Certificate of Waiver, effective January 27, 2025, expires January 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 27, 2025
- Certificate expiration
- January 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 1999
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0956402
- Lab name
- Andrew L Kulik DO
- Address
- 3446 Park Blvd, San Diego, CA 92103
- Phone
- (619) 295-3470
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Andrew L Kulik DO in San Diego?
05D0956402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Andrew L Kulik DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0956402 expire?
The CMS file lists January 26, 2027 as the certificate expiration date; the certificate took effect January 27, 2025.