05D2051893 CLIA NUMBER - ABC MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2051893
  • Facility Name: ABC MEDICAL CORPORATION
  • Facility Address: 1701 E FLORIDA AVE
    HEMET, CA
    ZIP 92544
  • Facility Phone: 951 658-4486
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANIKANDA G. RAJA MD
  • NPI Number: 1174803043
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2051893
LAB Type Physician Office
Facility Name ABC MEDICAL CORPORATION
Street 1701 E FLORIDA AVE
City HEMET
State CA
ZIP 92544
Phone 951 658-4486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Physician Office
Lab Director MANIKANDA G. RAJA MD

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