05D0575678 CLIA NUMBER - ARTHRITIS MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0575678

Facility Name: ARTHRITIS MEDICAL CLINIC

Facility Address:
6180 BROCKTON AVE STE 204
RIVERSIDE, CA
ZIP 92506
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Facility Phone Number: 951 781-7700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245255124

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	05D0575678
LAB Type	Physician Office
Facility Name	ARTHRITIS MEDICAL CLINIC
Street	6180 BROCKTON AVE STE 204
City	RIVERSIDE
State	CA
ZIP	92506
Phone	951 781-7700
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024