05D0582491 CLIA NUMBER - N R DEVARAJ, MD INC

Laboratory Demographics

CLIA Number: 05D0582491

Facility Name: N R DEVARAJ, MD INC

Facility Address:
3356 W BALL RD STE 205
ANAHEIM, CA
ZIP 92804
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Facility Phone Number: (714) 952-0958

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821175118

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D0582491
LAB Type PHYSICIAN OFFICE
Facility Name N R DEVARAJ, MD INC
Street 3356 W BALL RD STE 205
City ANAHEIM
State CA
ZIP 92804
Phone (714) 952-0958

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