05D2105113 CLIA NUMBER - SUSHIL ANAND MD FAAP

Laboratory Demographics

  • CLIA Code: 05D2105113
  • Facility Name: SUSHIL ANAND MD FAAP
  • Facility Address: 320 W G STREET, STE 101
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 983-4746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSHIL P. ANAND
  • NPI Number: 1548444250
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2105113
LAB Type Physician Office
Facility Name SUSHIL ANAND MD FAAP
Street 320 W G STREET, STE 101
City ONTARIO
State CA
ZIP 91762
Phone 909 983-4746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director SUSHIL P. ANAND

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