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: 1/7/2022