05D0867654 CLIA NUMBER - LEENA SHETH MD

Laboratory Demographics

  • CLIA Code: 05D0867654
  • Facility Name: LEENA SHETH MD
  • Facility Address: 8685-A BASELINE ROAD
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 980-3537
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEENA SHETH MD
  • NPI Number: 1255365722
  • Taxonomy: 173000000X - Legal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0867654
LAB Type Physician Office
Facility Name LEENA SHETH MD
Street 8685-A BASELINE ROAD
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 980-3537
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 LEENA SHETH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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