05D1048686 CLIA NUMBER - DEVESH N PATEL

Laboratory Demographics

  • CLIA Code: 05D1048686
  • Facility Name: DEVESH N PATEL
  • Facility Address: 130 WEST ROUTE 66 SUITE 302
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 348-4239
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVESH PATEL
  • NPI Number: 1407840697
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1048686
LAB Type Physician Office
Facility Name DEVESH N PATEL
Street 130 WEST ROUTE 66 SUITE 302
City GLENDORA
State CA
ZIP 91740
Phone 626 348-4239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director DEVESH PATEL

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