05D1034980 CLIA NUMBER - SAMIR E HAGE DO INC

Laboratory Demographics

  • CLIA Code: 05D1034980
  • Facility Name: SAMIR E HAGE DO INC
  • Facility Address: 255 TERRACINA BLVD #202
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 748-6065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMIR E. HAGE DO
  • NPI Number: 1821059924
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1034980
LAB Type Physician Office
Facility Name SAMIR E HAGE DO INC
Street 255 TERRACINA BLVD #202
City REDLANDS
State CA
ZIP 92373
Phone 909 748-6065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director SAMIR E. HAGE DO

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