05D2313178 CLIA NUMBER - ANUSHREE GUPTA, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2313178
  • Facility Name: ANUSHREE GUPTA, MD, INC
  • Facility Address: 6850 BROCKTON AVE, SUITE 108
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 787-7753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANUSHREE GUPTA
  • NPI Number: 1043574403
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313178
LAB Type Physician Office
Facility Name ANUSHREE GUPTA, MD, INC
Street 6850 BROCKTON AVE, SUITE 108
City RIVERSIDE
State CA
ZIP 92506
Phone 951 787-7753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director ANUSHREE GUPTA

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