05D0943253 CLIA NUMBER - JAYKUMAR SHAH MD

Laboratory Demographics

  • CLIA Code: 05D0943253
  • Facility Name: JAYKUMAR SHAH MD
  • Facility Address: 623 W DUARTE ROAD SUITE 7
    ARCADIA, CA
    ZIP 91007
  • Facility Phone: 626 446-4404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYKUMAR H. SHAH
  • NPI Number: 1376514661
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0943253
LAB Type Physician Office
Facility Name JAYKUMAR SHAH MD
Street 623 W DUARTE ROAD SUITE 7
City ARCADIA
State CA
ZIP 91007
Phone 626 446-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director JAYKUMAR H. SHAH

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This page was last updated on: 6/4/2025