05D0946467 CLIA NUMBER - HEMET HEART CENTER

Laboratory Demographics

  • CLIA Code: 05D0946467
  • Facility Name: HEMET HEART CENTER
  • Facility Address: 1275 E LATHAM #A
    HEMET, CA
    ZIP 92543
  • Facility Phone: 909 652-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL K. RASTOGI MD
  • NPI Number: 1164800751
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0946467
LAB Type Physician Office
Facility Name HEMET HEART CENTER
Street 1275 E LATHAM #A
City HEMET
State CA
ZIP 92543
Phone 909 652-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director ANIL K. RASTOGI MD

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