05D0998177 CLIA NUMBER - MOUKARZEL MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D0998177
  • Facility Name: MOUKARZEL MEDICAL CORP
  • Facility Address: 2109 W ROSS AVE
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 352-4103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIAS MOUKARZEL
  • NPI Number: 1326255084
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D0998177
LAB Type Physician Office
Facility Name MOUKARZEL MEDICAL CORP
Street 2109 W ROSS AVE
City EL CENTRO
State CA
ZIP 92243
Phone 760 352-4103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DR. ELIAS MOUKARZEL

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