05D2137131 CLIA NUMBER - SOUTHLAND ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D2137131
  • Facility Name: SOUTHLAND ENDOSCOPY CENTER
  • Facility Address: 949 CALHOUN PL STE B
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 929-1177
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SREENIVASA R NAKKA, MD
  • NPI Number: 1821245382
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2137131
LAB Type Ambulatory Surgery Center
Facility Name SOUTHLAND ENDOSCOPY CENTER
Street 949 CALHOUN PL STE B
City HEMET
State CA
ZIP 92543
Phone 951 929-1177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Ambulatory Surgery Center
Lab Director SREENIVASA R NAKKA, MD

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