05D0901899 CLIA NUMBER - NARESH J GANESH, MD

Laboratory Demographics

  • CLIA Code: 05D0901899
  • Facility Name: NARESH J GANESH, MD
  • Facility Address: 15982 TUSCOLA ROAD, SUITE A
    APPLE VALLEY, CA
    ZIP 92307
  • Facility Phone: 760 946-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARESH J. GANESH
  • NPI Number: 1558468942
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0901899
LAB Type Physician Office
Facility Name NARESH J GANESH, MD
Street 15982 TUSCOLA ROAD, SUITE A
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 946-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director NARESH J. GANESH

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