05D2035380 CLIA NUMBER - SARASA KUMAR MD INC

Laboratory Demographics

  • CLIA Code: 05D2035380
  • Facility Name: SARASA KUMAR MD INC
  • Facility Address: 13768 ROSWELL AVE STE 205
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 590-7356
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARASA KUMAR
  • NPI Number: 1982640371
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2035380
LAB Type Physician Office
Facility Name SARASA KUMAR MD INC
Street 13768 ROSWELL AVE STE 205
City CHINO
State CA
ZIP 91710
Phone 909 590-7356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director SARASA KUMAR

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