05D0920510 CLIA NUMBER - ASHOK MELVANI, MD

Laboratory Demographics

  • CLIA Code: 05D0920510
  • Facility Name: ASHOK MELVANI, MD
  • Facility Address: 12677 HESPERIA RD STE 140
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 962-1150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOK N. MELVANI, MD
  • NPI Number: 1447334099
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0920510
LAB Type Physician Office
Facility Name ASHOK MELVANI, MD
Street 12677 HESPERIA RD STE 140
City VICTORVILLE
State CA
ZIP 92395
Phone 760 962-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 8/7/2025
Facility Type Physician Office
Lab Director ASHOK N. MELVANI, MD

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This page was last updated on: 3/20/2025