05D2295003 CLIA NUMBER - ARYA MEDICAL GROUP CORP

Laboratory Demographics

  • CLIA Code: 05D2295003
  • Facility Name: ARYA MEDICAL GROUP CORP
  • Facility Address: 121 BELMONT AVE STE 100
    MENDOTA, CA
    ZIP 93640
  • Facility Phone: 559 424-0610
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ALI RASHIDIAN
  • NPI Number: 1235913351
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295003
LAB Type Rural Health Clinic
Facility Name ARYA MEDICAL GROUP CORP
Street 121 BELMONT AVE STE 100
City MENDOTA
State CA
ZIP 93640
Phone 559 424-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Rural Health Clinic
Lab Director ALI RASHIDIAN

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