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

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: 5/11/2023