05D0967739 CLIA NUMBER - MAITHRI N WEERASINGHE MD INC

Laboratory Demographics

  • CLIA Code: 05D0967739
  • Facility Name: MAITHRI N WEERASINGHE MD INC
  • Facility Address: 716 EAST MAIN STREET
    BARSTOW, CA
    ZIP 92311
  • Facility Phone: 760 256-6426
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MIKEL A. ALWIS MD
  • NPI Number: 1295745743
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0967739
LAB Type Physician Office
Facility Name MAITHRI N WEERASINGHE MD INC
Street 716 EAST MAIN STREET
City BARSTOW
State CA
ZIP 92311
Phone 760 256-6426
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director MIKEL A. ALWIS MD

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