05D2227042 CLIA NUMBER - KPC BIOTECH INC KPC BIOTECH MOLECULAR LAB

Laboratory Demographics

  • CLIA Code: 05D2227042
  • Facility Name: KPC BIOTECH INC KPC BIOTECH MOLECULAR LAB
  • Facility Address: 1117 E DEVONSHIRE AVE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 791-4264
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MUSTAFA MAHDAVY
  • NPI Number: 1538815089
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2227042
LAB Type Independent
Facility Name KPC BIOTECH INC KPC BIOTECH MOLECULAR LAB
Street 1117 E DEVONSHIRE AVE
City HEMET
State CA
ZIP 92543
Phone 951 791-4264
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Independent
Lab Director DR. MUSTAFA MAHDAVY

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