05D0969472 CLIA NUMBER - JAVIER R RIOS MD

Laboratory Demographics

  • CLIA Code: 05D0969472
  • Facility Name: JAVIER R RIOS MD
  • Facility Address: 4022 CHICAGO AVE
    RIVERSIDE, CA
    ZIP 92507
  • Facility Phone: 909 275-9083
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER R. RIOS
  • NPI Number: 1710396817
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 05D0969472
LAB Type Physician Office
Facility Name JAVIER R RIOS MD
Street 4022 CHICAGO AVE
City RIVERSIDE
State CA
ZIP 92507
Phone 909 275-9083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director JAVIER R. RIOS

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