05D0912238 CLIA NUMBER - RIVERBANK COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0912238
  • Facility Name: RIVERBANK COMMUNITY HEALTH CENTER
  • Facility Address: 2603 PATTERSON ROAD SUITE #3
    RIVERBANK, CA
    ZIP 95367
  • Facility Phone: 209 869-8102
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: ANDRES ARELLANO
  • NPI Number: 1144695578
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0912238
LAB Type Rural Health Clinic
Facility Name RIVERBANK COMMUNITY HEALTH CENTER
Street 2603 PATTERSON ROAD SUITE #3
City RIVERBANK
State CA
ZIP 95367
Phone 209 869-8102
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 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Rural Health Clinic
Lab Director ANDRES ARELLANO

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