05D2058351 CLIA NUMBER - SREEDHAR CHAVA MD INC

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Laboratory Demographics

CLIA Number: 05D2058351

Facility Name: SREEDHAR CHAVA MD INC

Facility Address:
1651 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744
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Facility Phone Number: (626) 917-8700

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1104163781

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2058351
LAB Type	PHYSICIAN OFFICE
Facility Name	SREEDHAR CHAVA MD INC
Street	1651 N HACIENDA BLVD
City	LA PUENTE
State	CA
ZIP	91744
Phone	(626) 917-8700

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This page was last updated on: 5/11/2023