05D0574492 CLIA NUMBER - INLAND EMPIRE GASTROENTEROLOGY

Laboratory Demographics

CLIA Number: 05D0574492

Facility Name: INLAND EMPIRE GASTROENTEROLOGY

Facility Address:
40404 CALIFORNIA OAKS ROAD #C
MURRIETA, CA
ZIP 92562
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Facility Phone Number: (951) 600-0288

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1417988379

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0574492
LAB Type	PHYSICIAN OFFICE
Facility Name	INLAND EMPIRE GASTROENTEROLOGY
Street	40404 CALIFORNIA OAKS ROAD #C
City	MURRIETA
State	CA
ZIP	92562
Phone	(951) 600-0288

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