05D0705091 CLIA NUMBER - KRISHNA K VASANT MD

Laboratory Demographics

  • CLIA Code: 05D0705091
  • Facility Name: KRISHNA K VASANT MD
  • Facility Address: 40285 WINCHESTER ROAD, #102
    TEMECULA, CA
    ZIP 92591
  • Facility Phone: 909 296-2055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISHNA K. VASANT MD
  • NPI Number: 1841338480
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0705091
LAB Type Physician Office
Facility Name KRISHNA K VASANT MD
Street 40285 WINCHESTER ROAD, #102
City TEMECULA
State CA
ZIP 92591
Phone 909 296-2055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KRISHNA K. VASANT MD

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