05D2107998 CLIA NUMBER - SR NAKKA MD ADVANCED ENDOSCOPY CENTER - GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 05D2107998
  • Facility Name: SR NAKKA MD ADVANCED ENDOSCOPY CENTER - GASTROENTEROLOGY
  • Facility Address: 25495 MEDICAL CENTER DR STE 307
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 304-3900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SREENIVASA R. NAKKA, MD
  • NPI Number: 1366857377
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2107998
LAB Type Ambulatory Surgery Center
Facility Name SR NAKKA MD ADVANCED ENDOSCOPY CENTER - GASTROENTEROLOGY
Street 25495 MEDICAL CENTER DR STE 307
City MURRIETA
State CA
ZIP 92562
Phone 951 304-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Ambulatory Surgery Center
Lab Director SREENIVASA R. NAKKA, MD

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