05D1099645 CLIA NUMBER - DURGA MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1099645
  • Facility Name: DURGA MEDICAL CORPORATION
  • Facility Address: 225 N LAURSEN ST
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 925-6657
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANYASI R. GANTA, MD
  • NPI Number: 1669523759
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1099645
LAB Type Physician Office
Facility Name DURGA MEDICAL CORPORATION
Street 225 N LAURSEN ST
City HEMET
State CA
ZIP 92543
Phone 951 925-6657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director SANYASI R. GANTA, MD

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