05D1087520 CLIA NUMBER - RADIANT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D1087520
  • Facility Name: RADIANT PRIMARY CARE
  • Facility Address: 18077 HIGHWAY 18, STE A
    APPLE VALLEY, CA
    ZIP 92307
  • Facility Phone: 760 241-4929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANUPAMA SHARMA, MD
  • NPI Number: 1922212653
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1087520
LAB Type Physician Office
Facility Name RADIANT PRIMARY CARE
Street 18077 HIGHWAY 18, STE A
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 241-4929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director ANUPAMA SHARMA, MD

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