05D2009510 CLIA NUMBER - ABID H KHAN, MD PROFESSIONAL CORP

Laboratory Demographics

  • CLIA Code: 05D2009510
  • Facility Name: ABID H KHAN, MD PROFESSIONAL CORP
  • Facility Address: 1001 WEST SIXTH ST
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 984-0313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABID H. KHAN
  • NPI Number: 1326184524
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2009510
LAB Type Physician Office
Facility Name ABID H KHAN, MD PROFESSIONAL CORP
Street 1001 WEST SIXTH ST
City ONTARIO
State CA
ZIP 91762
Phone 909 984-0313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director ABID H. KHAN

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