05D1005359 CLIA NUMBER - VALENZUELA MEDICAL GROUP I, INC

Laboratory Demographics

CLIA Number: 05D1005359

Facility Name: VALENZUELA MEDICAL GROUP I, INC

Facility Address:
24226 SUNNYMEAD BLVD
MORENO VALLEY, CA
ZIP 92553
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Facility Phone Number: 951 601-6802

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952485641

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1005359
LAB Type	Physician Office
Facility Name	VALENZUELA MEDICAL GROUP I, INC
Street	24226 SUNNYMEAD BLVD
City	MORENO VALLEY
State	CA
ZIP	92553
Phone	951 601-6802
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024