05D0574327 CLIA NUMBER - SOBOBA INDIAN HEALTH CLINIC

Laboratory Demographics

CLIA Number: 05D0574327

Facility Name: SOBOBA INDIAN HEALTH CLINIC

Facility Address:
607 DONNA WAY
SAN JACINTO, CA
ZIP 92583
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Facility Phone Number: (951) 849-4761

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1386837227

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0574327
LAB Type PHYSICIAN OFFICE
Facility Name SOBOBA INDIAN HEALTH CLINIC
Street 607 DONNA WAY
City SAN JACINTO
State CA
ZIP 92583
Phone (951) 849-4761

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