05D0953971 CLIA NUMBER - MRIDULA KEDIA MD & PRABHU D LOHARUKA, MD

Laboratory Demographics

  • CLIA Code: 05D0953971
  • Facility Name: MRIDULA KEDIA MD & PRABHU D LOHARUKA, MD
  • Facility Address: 4201 TORRANCE BLVD STE 380
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 540-5676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MRIDULA KEDIA
  • NPI Number: 1598860645
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0953971
LAB Type Physician Office
Facility Name MRIDULA KEDIA MD & PRABHU D LOHARUKA, MD
Street 4201 TORRANCE BLVD STE 380
City TORRANCE
State CA
ZIP 90503
Phone 310 540-5676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director MRIDULA KEDIA

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