05D1013426 CLIA NUMBER - ORANGECREST MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1013426
  • Facility Name: ORANGECREST MEDICAL GROUP
  • Facility Address: 14200 MERIDIAN PKWY
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 653-0655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIAS F. SANCHEZ
  • NPI Number: 1538610548
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D1013426
LAB Type Physician Office
Facility Name ORANGECREST MEDICAL GROUP
Street 14200 MERIDIAN PKWY
City RIVERSIDE
State CA
ZIP 92506
Phone 951 653-0655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director ELIAS F. SANCHEZ

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