05D0931948 CLIA NUMBER - RIALTO COMMUNITY MEDICAL CLINIC / MARVIN URBINA MD

Laboratory Demographics

  • CLIA Code: 05D0931948
  • Facility Name: RIALTO COMMUNITY MEDICAL CLINIC / MARVIN URBINA MD
  • Facility Address: 195 E FOOTHILL BLVD
    RIALTO, CA
    ZIP 92376
  • Facility Phone: 909 874-3490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN URBINA
  • NPI Number: 1841339355
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0931948
LAB Type Physician Office
Facility Name RIALTO COMMUNITY MEDICAL CLINIC / MARVIN URBINA MD
Street 195 E FOOTHILL BLVD
City RIALTO
State CA
ZIP 92376
Phone 909 874-3490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director MARVIN URBINA

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