05D0943655 CLIA NUMBER - SUKHDEV S KHANGURA

Laboratory Demographics

  • CLIA Code: 05D0943655
  • Facility Name: SUKHDEV S KHANGURA
  • Facility Address: 3609 MISSION AVE, STE H
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 483-5589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUKHDEV S. KHANGURA
  • NPI Number: 1861426470
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0943655
LAB Type Physician Office
Facility Name SUKHDEV S KHANGURA
Street 3609 MISSION AVE, STE H
City CARMICHAEL
State CA
ZIP 95608
Phone 916 483-5589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director SUKHDEV S. KHANGURA

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