05D0995637 CLIA NUMBER - CONSUELO M OCAMPO MD INC

Laboratory Demographics

  • CLIA Code: 05D0995637
  • Facility Name: CONSUELO M OCAMPO MD INC
  • Facility Address: 29645 RANCHO CALIFORNIA RD,# 138
    TEMECULA, CA
    ZIP 92591
  • Facility Phone: 909 695-7228
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CONSUELO M. OCAMPO
  • NPI Number: 1952408981
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0995637
LAB Type Independent
Facility Name CONSUELO M OCAMPO MD INC
Street 29645 RANCHO CALIFORNIA RD,# 138
City TEMECULA
State CA
ZIP 92591
Phone 909 695-7228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Independent
Lab Director CONSUELO M. OCAMPO

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