05D0972077 CLIA NUMBER - JEFFERY A MULLER MD

Laboratory Demographics

  • CLIA Code: 05D0972077
  • Facility Name: JEFFERY A MULLER MD
  • Facility Address: 2815 S MAIN ST, STE 210
    CORONA, CA
    ZIP 92882
  • Facility Phone: 951 735-9211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFERY A. MULLER MD
  • NPI Number: 1003995754
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0972077
LAB Type Physician Office
Facility Name JEFFERY A MULLER MD
Street 2815 S MAIN ST, STE 210
City CORONA
State CA
ZIP 92882
Phone 951 735-9211
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 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director JEFFERY A. MULLER MD

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