05D0902722 CLIA NUMBER - MANOHAR R SENRA, MD, INC

Laboratory Demographics

  • CLIA Code: 05D0902722
  • Facility Name: MANOHAR R SENRA, MD, INC
  • Facility Address: 3010 ANACAPA PL
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 562 631-3394
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOHAR R. SENRA
  • NPI Number: 1750575296
  • Taxonomy: 207RC0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0902722
LAB Type Physician Office
Facility Name MANOHAR R SENRA, MD, INC
Street 3010 ANACAPA PL
City FULLERTON
State CA
ZIP 92835
Phone 562 631-3394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director MANOHAR R. SENRA

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