05D2172757 CLIA NUMBER - CAJON MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 05D2172757
  • Facility Name: CAJON MEDICAL GROUP PC
  • Facility Address: 1809 W REDLANDS BOULEVARD
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 735-2446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARCHIS D. DESAI
  • NPI Number: 1427619444
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2172757
LAB Type Physician Office
Facility Name CAJON MEDICAL GROUP PC
Street 1809 W REDLANDS BOULEVARD
City REDLANDS
State CA
ZIP 92373
Phone 909 735-2446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director ARCHIS D. DESAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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