05D1047989 CLIA NUMBER - JOAQUIN REYES, MD

Laboratory Demographics

  • CLIA Code: 05D1047989
  • Facility Name: JOAQUIN REYES, MD
  • Facility Address: 3838 SHERMAN DR STE 203
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 785-6767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOAQUIN REYES, MD
  • NPI Number: 1295720316
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1047989
LAB Type Physician Office
Facility Name JOAQUIN REYES, MD
Street 3838 SHERMAN DR STE 203
City RIVERSIDE
State CA
ZIP 92503
Phone 951 785-6767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director JOAQUIN REYES, MD

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This page was last updated on: 6/4/2025