05D1068062 CLIA NUMBER - ACE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D1068062
  • Facility Name: ACE PEDIATRICS
  • Facility Address: 621 N STATE ST STE 3
    SAN JACINTO, CA
    ZIP 92583
  • Facility Phone: 951 654-4044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SWATI PANSE
  • NPI Number: 1154525335
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1068062
LAB Type Physician Office
Facility Name ACE PEDIATRICS
Street 621 N STATE ST STE 3
City SAN JACINTO
State CA
ZIP 92583
Phone 951 654-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director SWATI PANSE

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