05D0697917 CLIA NUMBER - MAYA BIDICHANDANI KAVRA MD

Laboratory Demographics

  • CLIA Code: 05D0697917
  • Facility Name: MAYA BIDICHANDANI KAVRA MD
  • Facility Address: 24953 PASEO DE DE VALENCIA STE 22A
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 248-5884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYA B. KAURA MD
  • NPI Number: 1992803167
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0697917
LAB Type Physician Office
Facility Name MAYA BIDICHANDANI KAVRA MD
Street 24953 PASEO DE DE VALENCIA STE 22A
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 248-5884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director MAYA B. KAURA MD

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This page was last updated on: 9/29/2025