05D0967783 CLIA NUMBER - ARCHANA SHENDE, MD

Laboratory Demographics

  • CLIA Code: 05D0967783
  • Facility Name: ARCHANA SHENDE, MD
  • Facility Address: 1211 WEST LA PALMA AVENUE, #309
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 999-1050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARCHANA C. SHENDE MD
  • NPI Number: 1043255938
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0967783
LAB Type Physician Office
Facility Name ARCHANA SHENDE, MD
Street 1211 WEST LA PALMA AVENUE, #309
City ANAHEIM
State CA
ZIP 92801
Phone 714 999-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director ARCHANA C. SHENDE MD

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