05D1050960 CLIA NUMBER - RAJIV I BHAVSAR, MD

Laboratory Demographics

  • CLIA Code: 05D1050960
  • Facility Name: RAJIV I BHAVSAR, MD
  • Facility Address: 1321 N HARBOR BLVD #302
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 714 441-0591
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAJIV I. BHAVSAR, MD
  • NPI Number: 1477550648
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1050960
LAB Type Physician Office
Facility Name RAJIV I BHAVSAR, MD
Street 1321 N HARBOR BLVD #302
City FULLERTON
State CA
ZIP 92835
Phone 714 441-0591
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director RAJIV I. BHAVSAR, MD

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