05D0962014 CLIA NUMBER - ARTHUR E JIMENEZ, MD INC CLINICA MEDICA LAROSS

Laboratory Demographics

  • CLIA Code: 05D0962014
  • Facility Name: ARTHUR E JIMENEZ, MD INC CLINICA MEDICA LAROSS
  • Facility Address: 15381 7TH ST, SUITE 2-3
    VICTORVILLE, CA
    ZIP 92392
  • Facility Phone: 760 245-2380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR E. JIMENEZ
  • NPI Number: 1578532131
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0962014
LAB Type Physician Office
Facility Name ARTHUR E JIMENEZ, MD INC CLINICA MEDICA LAROSS
Street 15381 7TH ST, SUITE 2-3
City VICTORVILLE
State CA
ZIP 92392
Phone 760 245-2380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director ARTHUR E. JIMENEZ

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