05D2263088 CLIA NUMBER - HEMET FAMILY CLINIC DBA NAMITA MOHIDEEN, MD INC

Laboratory Demographics

  • CLIA Code: 05D2263088
  • Facility Name: HEMET FAMILY CLINIC DBA NAMITA MOHIDEEN, MD INC
  • Facility Address: 603 EAST LATHAM AVE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 502-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAMITA P. MOHIDEEN
  • NPI Number: 1114031051
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2263088
LAB Type Physician Office
Facility Name HEMET FAMILY CLINIC DBA NAMITA MOHIDEEN, MD INC
Street 603 EAST LATHAM AVE
City HEMET
State CA
ZIP 92543
Phone 951 502-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director NAMITA P. MOHIDEEN

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