05D1077394 CLIA NUMBER - KANWALJIT GILL, MD INC

Laboratory Demographics

  • CLIA Code: 05D1077394
  • Facility Name: KANWALJIT GILL, MD INC
  • Facility Address: 38656 MEDICAL CENTER DR STE A
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 661 940-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KANWALJIT S. GILL, MD
  • NPI Number: 1477612752
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1077394
LAB Type Physician Office
Facility Name KANWALJIT GILL, MD INC
Street 38656 MEDICAL CENTER DR STE A
City PALMDALE
State CA
ZIP 93551
Phone 661 940-4444
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 KANWALJIT S. GILL, MD

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