05D0951023 CLIA NUMBER - NILIMA H MAMTORA MD WOMEN TO WOMEN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0951023
  • Facility Name: NILIMA H MAMTORA MD WOMEN TO WOMEN MEDICAL GROUP
  • Facility Address: 531 S HARBOR BLVD
    ANAHEIM, CA
    ZIP 92805
  • Facility Phone: 714 956-3535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILIMA H. MAMBRA MD
  • NPI Number: 1629019286
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0951023
LAB Type Physician Office
Facility Name NILIMA H MAMTORA MD WOMEN TO WOMEN MEDICAL GROUP
Street 531 S HARBOR BLVD
City ANAHEIM
State CA
ZIP 92805
Phone 714 956-3535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director NILIMA H. MAMBRA MD

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