05D2155693 CLIA NUMBER - SUSAN M DANEK MD

Laboratory Demographics

  • CLIA Code: 05D2155693
  • Facility Name: SUSAN M DANEK MD
  • Facility Address: 29798 MAIN RD #302
    SUN CITY, CA
    ZIP 92586
  • Facility Phone: 951 301-7191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN M. DANEK
  • NPI Number: 1265572499
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2155693
LAB Type Physician Office
Facility Name SUSAN M DANEK MD
Street 29798 MAIN RD #302
City SUN CITY
State CA
ZIP 92586
Phone 951 301-7191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director SUSAN M. DANEK

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