05D0992832 CLIA NUMBER - PRAFUL SARODE MD INC

Laboratory Demographics

  • CLIA Code: 05D0992832
  • Facility Name: PRAFUL SARODE MD INC
  • Facility Address: 999 N TUSTIN AVENUE,SUITE 124
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 547-5444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAFUL SARODE MD
  • NPI Number: 1669560231
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0992832
LAB Type Physician Office
Facility Name PRAFUL SARODE MD INC
Street 999 N TUSTIN AVENUE,SUITE 124
City SANTA ANA
State CA
ZIP 92705
Phone 714 547-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director PRAFUL SARODE MD

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