05D0574725 CLIA NUMBER - SOUTHWEST HEALTHCARE SYSTEM CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0574725
  • Facility Name: SOUTHWEST HEALTHCARE SYSTEM CLINICAL LABORATORY
  • Facility Address: 36485 INLAND VALLEY DRIVE
    WILDOMAR, CA
    ZIP 92595
  • Facility Phone: 951 677-1111
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BORIS SHLOPOV
  • NPI Number: 1245221050
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0574725
LAB Type Hospital
Facility Name SOUTHWEST HEALTHCARE SYSTEM CLINICAL LABORATORY
Street 36485 INLAND VALLEY DRIVE
City WILDOMAR
State CA
ZIP 92595
Phone 951 677-1111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. BORIS SHLOPOV

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This page was last updated on: 3/20/2025