05D1030084 CLIA NUMBER - RACHNA RAWAL MD INC

Laboratory Demographics

  • CLIA Code: 05D1030084
  • Facility Name: RACHNA RAWAL MD INC
  • Facility Address: 14930 IMPERIAL HWY UNIT A
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 906-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHNA RAWAL MD
  • NPI Number: 1962482919
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1030084
LAB Type Physician Office
Facility Name RACHNA RAWAL MD INC
Street 14930 IMPERIAL HWY UNIT A
City LA MIRADA
State CA
ZIP 90638
Phone 562 906-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director RACHNA RAWAL MD

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