05D1004362 CLIA NUMBER - INFINITY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1004362
  • Facility Name: INFINITY MEDICAL GROUP
  • Facility Address: 19333 BEAR VALLEY RD STE 201
    APPLE VALLEY, CA
    ZIP 92308
  • Facility Phone: 760 956-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNGHO D. AHN MD
  • NPI Number: 1962518407
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1004362
LAB Type Physician Office
Facility Name INFINITY MEDICAL GROUP
Street 19333 BEAR VALLEY RD STE 201
City APPLE VALLEY
State CA
ZIP 92308
Phone 760 956-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director SUNGHO D. AHN MD

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