05D1069729 CLIA NUMBER - RANI ELIAS MD INC

Laboratory Demographics

  • CLIA Code: 05D1069729
  • Facility Name: RANI ELIAS MD INC
  • Facility Address: 9710 19TH ST
    RANCHO CUCAMONGA, CA
    ZIP 91737
  • Facility Phone: 909 581-0008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANI ELIAS MD
  • NPI Number: 1194087155
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1069729
LAB Type Physician Office
Facility Name RANI ELIAS MD INC
Street 9710 19TH ST
City RANCHO CUCAMONGA
State CA
ZIP 91737
Phone 909 581-0008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director RANI ELIAS MD

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