05D1063057 CLIA NUMBER - MORENO VALLEY WOMENS & FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 05D1063057
  • Facility Name: MORENO VALLEY WOMENS & FAMILY CLINIC
  • Facility Address: 6485 DAY ST STE 203
    RIVERSIDE, CA
    ZIP 92507
  • Facility Phone: 951 697-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELENA O. MBA
  • NPI Number: 1992850150
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1063057
LAB Type Physician Office
Facility Name MORENO VALLEY WOMENS & FAMILY CLINIC
Street 6485 DAY ST STE 203
City RIVERSIDE
State CA
ZIP 92507
Phone 951 697-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director HELENA O. MBA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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