05D2002896 CLIA NUMBER - I HENAWI, MD INC

Laboratory Demographics

  • CLIA Code: 05D2002896
  • Facility Name: I HENAWI, MD INC
  • Facility Address: 4020 WEST FLORIDA AVENUE
    HEMET, CA
    ZIP 92545
  • Facility Phone: 951 765-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IGLAL EL HENAWI
  • NPI Number: 1144557539
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2002896
LAB Type Physician Office
Facility Name I HENAWI, MD INC
Street 4020 WEST FLORIDA AVENUE
City HEMET
State CA
ZIP 92545
Phone 951 765-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director IGLAL EL HENAWI

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