05D2103522 CLIA NUMBER - JAGMOHAN S. KHAIRA, M.D., INC

Laboratory Demographics

  • CLIA Code: 05D2103522
  • Facility Name: JAGMOHAN S. KHAIRA, M.D., INC
  • Facility Address: 1050 MARINA VILLAGE PKWY STE 101
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 227-5540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAGMOHAN S. KHAIRA, MD
  • NPI Number: 1801864988
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2103522
LAB Type Physician Office
Facility Name JAGMOHAN S. KHAIRA, M.D., INC
Street 1050 MARINA VILLAGE PKWY STE 101
City ALAMEDA
State CA
ZIP 94501
Phone 510 227-5540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Physician Office
Lab Director JAGMOHAN S. KHAIRA, MD

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