05D0871194 CLIA NUMBER - GAMAL GHALY, MD

Laboratory Demographics

  • CLIA Code: 05D0871194
  • Facility Name: GAMAL GHALY, MD
  • Facility Address: 14114 BUSINESS CENTER DRIVE SUITE G
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 951 656-5333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAMAL GHALY, MD
  • NPI Number: 1083790513
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0871194
LAB Type Physician Office
Facility Name GAMAL GHALY, MD
Street 14114 BUSINESS CENTER DRIVE SUITE G
City MORENO VALLEY
State CA
ZIP 92553
Phone 951 656-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director GAMAL GHALY, MD

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