05D0944919 CLIA NUMBER - AKTHER KOTHA MD

Laboratory Demographics

  • CLIA Code: 05D0944919
  • Facility Name: AKTHER KOTHA MD
  • Facility Address: 8860 CENTER DR STE 400
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 229-1995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AKTHER J. KOTHA MD
  • NPI Number: 1780609503
  • Taxonomy: 207RR0500X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0944919
LAB Type Physician Office
Facility Name AKTHER KOTHA MD
Street 8860 CENTER DR STE 400
City LA MESA
State CA
ZIP 91942
Phone 619 229-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director AKTHER J. KOTHA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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