05D2004883 CLIA NUMBER - SABITA MALLA, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2004883
  • Facility Name: SABITA MALLA, MD, INC
  • Facility Address: 23928 LYONS AVE STE 202
    SANTA CLARITA, CA
    ZIP 91321
  • Facility Phone: 661 799-7007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SABITA MALLA
  • NPI Number: 1962571216
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2004883
LAB Type Physician Office
Facility Name SABITA MALLA, MD, INC
Street 23928 LYONS AVE STE 202
City SANTA CLARITA
State CA
ZIP 91321
Phone 661 799-7007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director SABITA MALLA

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