05D0949010 CLIA NUMBER - LEONEL L RODRIGUEZ MD

Laboratory Demographics

  • CLIA Code: 05D0949010
  • Facility Name: LEONEL L RODRIGUEZ MD
  • Facility Address: 205 NORTH FIRST STREET STE C
    BLYTHE, CA
    ZIP 92225
  • Facility Phone: 760 922-8330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONEL L. RODRIGUEZ
  • NPI Number: 1912098872
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0949010
LAB Type Physician Office
Facility Name LEONEL L RODRIGUEZ MD
Street 205 NORTH FIRST STREET STE C
City BLYTHE
State CA
ZIP 92225
Phone 760 922-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director LEONEL L. RODRIGUEZ

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