05D2325434 CLIA NUMBER - HATEEM SIDDIQUI MD PC

Laboratory Demographics

  • CLIA Code: 05D2325434
  • Facility Name: HATEEM SIDDIQUI MD PC
  • Facility Address: 1800 WESTERN AVENUE N #409
    SAN BERNARDINO, CA
    ZIP 92411
  • Facility Phone: 909 202-4336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HATEEM SADDIQUI
  • NPI Number: 1487099669
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2325434
LAB Type Physician Office
Facility Name HATEEM SIDDIQUI MD PC
Street 1800 WESTERN AVENUE N #409
City SAN BERNARDINO
State CA
ZIP 92411
Phone 909 202-4336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director HATEEM SADDIQUI

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