05D0933196 CLIA NUMBER - CHAPARRAL MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0933196
  • Facility Name: CHAPARRAL MEDICAL GROUP INC
  • Facility Address: 138 HARVARD AVENUE
    CLAREMONT, CA
    ZIP 91711
  • Facility Phone: 909 624-4503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOK SHARMA MD
  • NPI Number: 1962464529
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0933196
LAB Type Physician Office
Facility Name CHAPARRAL MEDICAL GROUP INC
Street 138 HARVARD AVENUE
City CLAREMONT
State CA
ZIP 91711
Phone 909 624-4503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director ASHOK SHARMA MD

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