05D2234799 CLIA NUMBER - MD CARE PROVIDERS, INC

Laboratory Demographics

  • CLIA Code: 05D2234799
  • Facility Name: MD CARE PROVIDERS, INC
  • Facility Address: 975 ST JOHN PLACE SUITE A
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 357-2264
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHUR ARVIND
  • NPI Number: 1669939468
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2234799
LAB Type Physician Office
Facility Name MD CARE PROVIDERS, INC
Street 975 ST JOHN PLACE SUITE A
City HEMET
State CA
ZIP 92543
Phone 951 357-2264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director MATHUR ARVIND

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