05D0573919 CLIA NUMBER - MISSION PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 05D0573919
  • Facility Name: MISSION PEDIATRICS, INC
  • Facility Address: 215 WEST 4TH STREET
    PERRIS, CA
    ZIP 92570
  • Facility Phone: 951 943-4751
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY D. WATSON MD
  • NPI Number: 1679651921
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0573919
LAB Type Physician Office
Facility Name MISSION PEDIATRICS, INC
Street 215 WEST 4TH STREET
City PERRIS
State CA
ZIP 92570
Phone 951 943-4751
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director TIMOTHY D. WATSON MD

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