05D2005844 CLIA NUMBER - SUDHA MOOLA, MD INC.

Laboratory Demographics

  • CLIA Code: 05D2005844
  • Facility Name: SUDHA MOOLA, MD INC.
  • Facility Address: 3975 JACKSON STREET, STE 208
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 732-7834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHA MOOLA MD
  • NPI Number: 1063628386
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2005844
LAB Type Physician Office
Facility Name SUDHA MOOLA, MD INC.
Street 3975 JACKSON STREET, STE 208
City RIVERSIDE
State CA
ZIP 92503
Phone 951 732-7834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director SUDHA MOOLA MD

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