05D2311012 CLIA NUMBER - SHAFI SIDDIQI MD

Laboratory Demographics

  • CLIA Code: 05D2311012
  • Facility Name: SHAFI SIDDIQI MD
  • Facility Address: 31569 CANYON ESTATES DR SUITE 201
    LAKE ELSINORE, CA
    ZIP 92532
  • Facility Phone: 951 226-0866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAFI U. SIDDIQI
  • NPI Number: 1538499470
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2311012
LAB Type Physician Office
Facility Name SHAFI SIDDIQI MD
Street 31569 CANYON ESTATES DR SUITE 201
City LAKE ELSINORE
State CA
ZIP 92532
Phone 951 226-0866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director SHAFI U. SIDDIQI

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