05D1028722 CLIA NUMBER - GERMAN E CRISOL MD INC

Laboratory Demographics

  • CLIA Code: 05D1028722
  • Facility Name: GERMAN E CRISOL MD INC
  • Facility Address: 6485 DAY STREET,SUITE 202
    RIVERSIDE, CA
    ZIP 92507
  • Facility Phone: 951 653-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERMAN E. CRISOL
  • NPI Number: 1952333650
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1028722
LAB Type Physician Office
Facility Name GERMAN E CRISOL MD INC
Street 6485 DAY STREET,SUITE 202
City RIVERSIDE
State CA
ZIP 92507
Phone 951 653-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director GERMAN E. CRISOL

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