05D0976893 CLIA NUMBER - CHAPARRAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0976893
  • Facility Name: CHAPARRAL MEDICAL GROUP
  • Facility Address: 1866 N ORANGE GROVE #102
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 620-4373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RISHU MARWAHA
  • NPI Number: 1821554866
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0976893
LAB Type Physician Office
Facility Name CHAPARRAL MEDICAL GROUP
Street 1866 N ORANGE GROVE #102
City POMONA
State CA
ZIP 91767
Phone 909 620-4373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director RISHU MARWAHA

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