05D0571814 CLIA NUMBER - S AVA MAHAPATRA MD PC

Laboratory Demographics

CLIA Number: 05D0571814

Facility Name: S AVA MAHAPATRA MD PC

Facility Address:
491 W VISTA CHINO
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: (760) 799-6898

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0571814
LAB Type PHYSICIAN OFFICE
Facility Name S AVA MAHAPATRA MD PC
Street 491 W VISTA CHINO
City PALM SPRINGS
State CA
ZIP 92262
Phone (760) 799-6898

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This page was last updated on: 1/7/2022