05D2250005 CLIA NUMBER - ELITE PRIMARY PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 05D2250005
  • Facility Name: ELITE PRIMARY PHYSICIANS, INC
  • Facility Address: 1781 W ROMNEYA DRIVE SUITE B
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 562 631-4455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISHMINDER V. SINGH
  • NPI Number: 1922772862
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2250005
LAB Type Physician Office
Facility Name ELITE PRIMARY PHYSICIANS, INC
Street 1781 W ROMNEYA DRIVE SUITE B
City ANAHEIM
State CA
ZIP 92801
Phone 562 631-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director ISHMINDER V. SINGH

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