10D2186868 CLIA NUMBER - SIDDH INC

Laboratory Demographics

  • CLIA Code: 10D2186868
  • Facility Name: SIDDH INC
  • Facility Address: 107 W MAIN ST
    IMMOKALEE, FL
    ZIP 34142
  • Facility Phone: 908 868-5461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAHENDRA J. CHAUDHARI
  • NPI Number: 1073903233
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2186868
LAB Type Pharmacy
Facility Name SIDDH INC
Street 107 W MAIN ST
City IMMOKALEE
State FL
ZIP 34142
Phone 908 868-5461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Pharmacy
Lab Director MAHENDRA J. CHAUDHARI

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