05D0956124 CLIA NUMBER - CALIFORNIA HEART AND VASCULAR CLINIC

Laboratory Demographics

  • CLIA Code: 05D0956124
  • Facility Name: CALIFORNIA HEART AND VASCULAR CLINIC
  • Facility Address: 790 W ORANGE AVE STE B
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 353-3222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ATHAR M. ANSARI MD
  • NPI Number: 1184017261
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0956124
LAB Type Physician Office
Facility Name CALIFORNIA HEART AND VASCULAR CLINIC
Street 790 W ORANGE AVE STE B
City EL CENTRO
State CA
ZIP 92243
Phone 760 353-3222
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director ATHAR M. ANSARI MD

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