05D2196497 CLIA NUMBER - MONISHA RAO MD INC

Laboratory Demographics

  • CLIA Code: 05D2196497
  • Facility Name: MONISHA RAO MD INC
  • Facility Address: 2438 N PONDEROSA DR N STE C209
    CAMARILLO, CA
    ZIP 93010
  • Facility Phone: 805 482-0721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONISHA RAO
  • NPI Number: 1699869412
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2196497
LAB Type Physician Office
Facility Name MONISHA RAO MD INC
Street 2438 N PONDEROSA DR N STE C209
City CAMARILLO
State CA
ZIP 93010
Phone 805 482-0721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director MONISHA RAO

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