05D0716008 CLIA NUMBER - NEELAM GUPTA, MD DBA RAMONA MEDICAL CLINIC R & N GUPTA, MD PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0716008
  • Facility Name: NEELAM GUPTA, MD DBA RAMONA MEDICAL CLINIC R & N GUPTA, MD PROFESSIONAL CORPORATION
  • Facility Address: 341 EAST MAIN ST STE 100
    SAN JACINTO, CA
    ZIP 92583
  • Facility Phone: 951 654-9367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEELAM GUPTA, MD
  • NPI Number: 1922289628
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0716008
LAB Type Physician Office
Facility Name NEELAM GUPTA, MD DBA RAMONA MEDICAL CLINIC R & N GUPTA, MD PROFESSIONAL CORPORATION
Street 341 EAST MAIN ST STE 100
City SAN JACINTO
State CA
ZIP 92583
Phone 951 654-9367
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 NEELAM GUPTA, MD

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This page was last updated on: 6/4/2025