05D0934431 CLIA NUMBER - MINA MIKHAIL, MD INC

Laboratory Demographics

  • CLIA Code: 05D0934431
  • Facility Name: MINA MIKHAIL, MD INC
  • Facility Address: 4100 CENTRAL AVE STE 106
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 750-1090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINA N. MIKHAIL
  • NPI Number: 1336226786
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0934431
LAB Type Physician Office
Facility Name MINA MIKHAIL, MD INC
Street 4100 CENTRAL AVE STE 106
City RIVERSIDE
State CA
ZIP 92506
Phone 951 750-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director MINA N. MIKHAIL

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