05D0969799 CLIA NUMBER - SUNRISE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0969799
  • Facility Name: SUNRISE MEDICAL GROUP
  • Facility Address: 5475 E LA PALMA AVE STE 100
    ANAHEIM, CA
    ZIP 92807
  • Facility Phone: 714 970-0911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL C. MAPARA, MD
  • NPI Number: 1518001114
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0969799
LAB Type Physician Office
Facility Name SUNRISE MEDICAL GROUP
Street 5475 E LA PALMA AVE STE 100
City ANAHEIM
State CA
ZIP 92807
Phone 714 970-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director SUNIL C. MAPARA, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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