05D1064200 CLIA NUMBER - SYLVIA GISI MD

Laboratory Demographics

  • CLIA Code: 05D1064200
  • Facility Name: SYLVIA GISI MD
  • Facility Address: 31493 RANCHO PUEBLO RD STE 204
    TEMECULA, CA
    ZIP 92592
  • Facility Phone: 951 303-6158
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYLVIA A. GISI
  • NPI Number: 1720052541
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1064200
LAB Type Physician Office
Facility Name SYLVIA GISI MD
Street 31493 RANCHO PUEBLO RD STE 204
City TEMECULA
State CA
ZIP 92592
Phone 951 303-6158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director SYLVIA A. GISI

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