05D0893246 CLIA NUMBER - PILAR J CONDRY MD INC

Laboratory Demographics

  • CLIA Code: 05D0893246
  • Facility Name: PILAR J CONDRY MD INC
  • Facility Address: 14114 BUSINESS CTR DR SUITE B
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 951 697-5777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PILAR J. CONDRY
  • NPI Number: 1669563748
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0893246
LAB Type Physician Office
Facility Name PILAR J CONDRY MD INC
Street 14114 BUSINESS CTR DR SUITE B
City MORENO VALLEY
State CA
ZIP 92553
Phone 951 697-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director PILAR J. CONDRY

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