05D0927306 CLIA NUMBER - HAMPTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0927306
  • Facility Name: HAMPTON MEDICAL CLINIC
  • Facility Address: 2671 IOWA AVE
    RIVERSIDE, CA
    ZIP 92507
  • Facility Phone: 909 784-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REUEL T. GASKINS MD
  • NPI Number: 1962608356
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0927306
LAB Type Physician Office
Facility Name HAMPTON MEDICAL CLINIC
Street 2671 IOWA AVE
City RIVERSIDE
State CA
ZIP 92507
Phone 909 784-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director REUEL T. GASKINS MD

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