05D0985282 CLIA NUMBER - SHAHIDA DADABHOY A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0985282
  • Facility Name: SHAHIDA DADABHOY A PROFESSIONAL CORPORATION
  • Facility Address: 145 W WILLOW ST
    POMONA, CA
    ZIP 91768
  • Facility Phone: 909 865-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHAD DADABHAY MD
  • NPI Number: 1669472163
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0985282
LAB Type Physician Office
Facility Name SHAHIDA DADABHOY A PROFESSIONAL CORPORATION
Street 145 W WILLOW ST
City POMONA
State CA
ZIP 91768
Phone 909 865-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director SHAHAD DADABHAY MD

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