05D2174077 CLIA NUMBER - NASRIN & HAMID MANI PTR

Laboratory Demographics

  • CLIA Code: 05D2174077
  • Facility Name: NASRIN & HAMID MANI PTR
  • Facility Address: 835 THIRD AVENUE SUITE A
    CHULA VISTA, CA
    ZIP 91911
  • Facility Phone: 619 425-7755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASRIN MANI
  • NPI Number: 1023061314
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2174077
LAB Type Physician Office
Facility Name NASRIN & HAMID MANI PTR
Street 835 THIRD AVENUE SUITE A
City CHULA VISTA
State CA
ZIP 91911
Phone 619 425-7755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Physician Office
Lab Director NASRIN MANI

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