05D0573612 CLIA NUMBER - HEMCHAND KOLLI, MD INC

Laboratory Demographics

  • CLIA Code: 05D0573612
  • Facility Name: HEMCHAND KOLLI, MD INC
  • Facility Address: 1278 EAST LATHAM AVENUE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 925-6625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEMCHAND KOLLI, MD
  • NPI Number: 1669552485
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0573612
LAB Type Physician Office
Facility Name HEMCHAND KOLLI, MD INC
Street 1278 EAST LATHAM AVENUE
City HEMET
State CA
ZIP 92543
Phone 951 925-6625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director HEMCHAND KOLLI, MD

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This page was last updated on: 3/20/2025