05D1049666 CLIA NUMBER - NILESH N PATEL MD

Laboratory Demographics

  • CLIA Code: 05D1049666
  • Facility Name: NILESH N PATEL MD
  • Facility Address: 130 WEST ROUTE 66 SUITE #302
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 914-1514
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILESH PATEL MD
  • NPI Number: 1508858903
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1049666
LAB Type Physician Office
Facility Name NILESH N PATEL MD
Street 130 WEST ROUTE 66 SUITE #302
City GLENDORA
State CA
ZIP 91740
Phone 626 914-1514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director NILESH PATEL MD

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