05D2051968 CLIA NUMBER - POURANG KAMALI MD INC

Laboratory Demographics

  • CLIA Code: 05D2051968
  • Facility Name: POURANG KAMALI MD INC
  • Facility Address: 769 MEDICAL CENTER COURT STE 301
    CHULA VISTA, CA
    ZIP 91911
  • Facility Phone: 619 754-6120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: POURANG KAMALI
  • NPI Number: 1609954171
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2051968
LAB Type Physician Office
Facility Name POURANG KAMALI MD INC
Street 769 MEDICAL CENTER COURT STE 301
City CHULA VISTA
State CA
ZIP 91911
Phone 619 754-6120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director POURANG KAMALI

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