05D0978283 CLIA NUMBER - PARKVIEW MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0978283
  • Facility Name: PARKVIEW MEDICAL GROUP INC
  • Facility Address: 9041 MAGNOLIA AVENUE, SUITE #107-B
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 353-1021
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON COUTURE
  • NPI Number: 1114339207
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0978283
LAB Type Physician Office
Facility Name PARKVIEW MEDICAL GROUP INC
Street 9041 MAGNOLIA AVENUE, SUITE #107-B
City RIVERSIDE
State CA
ZIP 92503
Phone 951 353-1021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director JASON COUTURE

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