05D0587898 CLIA NUMBER - S J MARIANAYAGAM MD

Laboratory Demographics

CLIA Number: 05D0587898

Facility Name: S J MARIANAYAGAM MD

Facility Address:
1331 W AVENUE J STE 203
LANCASTER, CA
ZIP 93534
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Facility Phone Number: (661) 948-0012

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0587898
LAB Type	PHYSICIAN OFFICE
Facility Name	S J MARIANAYAGAM MD
Street	1331 W AVENUE J STE 203
City	LANCASTER
State	CA
ZIP	93534
Phone	(661) 948-0012

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This page was last updated on: 5/11/2023