05D0945064 CLIA NUMBER - RAINILDA P VALENCIA MD, INC

Laboratory Demographics

  • CLIA Code: 05D0945064
  • Facility Name: RAINILDA P VALENCIA MD, INC
  • Facility Address: 12677 HESPERIA RD, SUITE 160
    VICTORVILLE, CA
    ZIP 92392
  • Facility Phone: 760 955-5656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAINILDA P. VALENCIA
  • NPI Number: 1114009107
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0945064
LAB Type Physician Office
Facility Name RAINILDA P VALENCIA MD, INC
Street 12677 HESPERIA RD, SUITE 160
City VICTORVILLE
State CA
ZIP 92392
Phone 760 955-5656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director RAINILDA P. VALENCIA

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