05D0898853 CLIA NUMBER - COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 05D0898853
  • Facility Name: COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC HEALTH
  • Facility Address: 4065 COUNTY CIRCLE DR #304
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 358-6441
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MAHBUBA KHAN
  • NPI Number: 1821618588
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0898853
LAB Type Federally Qualified Health Center
Facility Name COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC HEALTH
Street 4065 COUNTY CIRCLE DR #304
City RIVERSIDE
State CA
ZIP 92503
Phone 951 358-6441
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Federally Qualified Health Center
Lab Director MAHBUBA KHAN

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