05D2106490 CLIA NUMBER - DEVADAS S MOSES

Laboratory Demographics

  • CLIA Code: 05D2106490
  • Facility Name: DEVADAS S MOSES
  • Facility Address: 701 HIGHLAND SPRINGS AVE STE 5
    BEAUMONT, CA
    ZIP 92223
  • Facility Phone: 951 845-2342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVADAS S. MOSES
  • NPI Number: 1023177607
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2106490
LAB Type Physician Office
Facility Name DEVADAS S MOSES
Street 701 HIGHLAND SPRINGS AVE STE 5
City BEAUMONT
State CA
ZIP 92223
Phone 951 845-2342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director DEVADAS S. MOSES

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