05D2198111 CLIA NUMBER - NAMITA MOHIDEEN, MD INC

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CLIA Record

Field Name Field Value
CLIA Number 05D2198111
LAB Type Physician Office
Facility Name NAMITA MOHIDEEN, MD INC
Street 811 E 11TH STREET SUITE 201
City UPLAND
State CA
ZIP 91786
Phone 909 985-0883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director NAMITA MOHIDEEN

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