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

Laboratory Demographics

CLIA Number: 05D0902722

Facility Name: MANOHAR R SENRA, MD, INC

Facility Address:
3010 ANACAPA PL
FULLERTON, CA
ZIP 92835
Get Directions

Facility Phone Number: 562 631-3394

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750575296

Taxonomy: 207RC0200X - Internal Medicine
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024