05D0989184 CLIA NUMBER - SUKHDEV K UPPAL, MD INC

Laboratory Demographics

  • CLIA Code: 05D0989184
  • Facility Name: SUKHDEV K UPPAL, MD INC
  • Facility Address: 800 MAGNOLIA AVENUE, SUITE 107
    CORONA, CA
    ZIP 92879
  • Facility Phone: 909 372-0955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUKHDEV K. UPPAL MD
  • NPI Number: 1487962353
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0989184
LAB Type Physician Office
Facility Name SUKHDEV K UPPAL, MD INC
Street 800 MAGNOLIA AVENUE, SUITE 107
City CORONA
State CA
ZIP 92879
Phone 909 372-0955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director SUKHDEV K. UPPAL MD

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