05D0575539 CLIA NUMBER - MISSION CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0575539
  • Facility Name: MISSION CARE CENTER
  • Facility Address: 8487 MAGNOLIA AVE
    RIVERSIDE, CA
    ZIP 92504
  • Facility Phone: 909 688-2222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WAN H. CHOI MD
  • NPI Number: 1891950267
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0575539
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MISSION CARE CENTER
Street 8487 MAGNOLIA AVE
City RIVERSIDE
State CA
ZIP 92504
Phone 909 688-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WAN H. CHOI MD

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