05D0574214 CLIA NUMBER - SOUTHERN CALIFORNIA PRIMARY CARE

Laboratory Demographics

CLIA Number: 05D0574214

Facility Name: SOUTHERN CALIFORNIA PRIMARY CARE

Facility Address:
31581 CANYON ESTATES DR
LAKE ELSINORE, CA
ZIP 92532
Get Directions

Facility Phone Number: (951) 244-3500

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1376632281

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0574214
LAB Type PHYSICIAN OFFICE
Facility Name SOUTHERN CALIFORNIA PRIMARY CARE
Street 31581 CANYON ESTATES DR
City LAKE ELSINORE
State CA
ZIP 92532
Phone (951) 244-3500

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 1/7/2022