05D0926509 CLIA NUMBER - JAMES S RUPPERT

Laboratory Demographics

  • CLIA Code: 05D0926509
  • Facility Name: JAMES S RUPPERT
  • Facility Address: 6485 DAY STREET, SUITE 206
    RIVERSIDE, CA
    ZIP 92507
  • Facility Phone: 909 697-7823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES S. RUPPERT
  • NPI Number: 1366437667
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0926509
LAB Type Physician Office
Facility Name JAMES S RUPPERT
Street 6485 DAY STREET, SUITE 206
City RIVERSIDE
State CA
ZIP 92507
Phone 909 697-7823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director JAMES S. RUPPERT

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