05D0682802 CLIA NUMBER - BECKER PEDIATRIC MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D0682802
  • Facility Name: BECKER PEDIATRIC MEDICAL CORP
  • Facility Address: 24679 MONROE AVE STE D 102/103
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 600-2681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD P. BECKER MD
  • NPI Number: 1477960276
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0682802
LAB Type Physician Office
Facility Name BECKER PEDIATRIC MEDICAL CORP
Street 24679 MONROE AVE STE D 102/103
City MURRIETA
State CA
ZIP 92562
Phone 951 600-2681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director RONALD P. BECKER MD

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