05D0935257 CLIA NUMBER - BHOODEV TIWARI, MD, FACC

Laboratory Demographics

  • CLIA Code: 05D0935257
  • Facility Name: BHOODEV TIWARI, MD, FACC
  • Facility Address: 27830 BRADLEY ROAD
    SUN CITY, CA
    ZIP 92586
  • Facility Phone: 909 679-2358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHOODEV TIWARI MD
  • NPI Number: 1326047309
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0935257
LAB Type Physician Office
Facility Name BHOODEV TIWARI, MD, FACC
Street 27830 BRADLEY ROAD
City SUN CITY
State CA
ZIP 92586
Phone 909 679-2358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director BHOODEV TIWARI MD

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