05D0950811 CLIA NUMBER - MICHAEL BASCH MD

Laboratory Demographics

  • CLIA Code: 05D0950811
  • Facility Name: MICHAEL BASCH MD
  • Facility Address: 41593 WINCHESTER ROAD, SUITE 101
    TEMECULA, CA
    ZIP 92590
  • Facility Phone: 951 719-1111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL BASCH MD
  • NPI Number: 1790889350
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0950811
LAB Type Physician Office
Facility Name MICHAEL BASCH MD
Street 41593 WINCHESTER ROAD, SUITE 101
City TEMECULA
State CA
ZIP 92590
Phone 951 719-1111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director MICHAEL BASCH MD

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