05D1071105 CLIA NUMBER - RIVERSIDE MISSION HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D1071105
  • Facility Name: RIVERSIDE MISSION HOME TRAINING
  • Facility Address: 3660 PARK SIERRA DRIVE SUITE 108
    RIVERSIDE, CA
    ZIP 92505
  • Facility Phone: 951 681-3900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RIZWAN BADAR MD
  • NPI Number: 1306240551
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1071105
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERSIDE MISSION HOME TRAINING
Street 3660 PARK SIERRA DRIVE SUITE 108
City RIVERSIDE
State CA
ZIP 92505
Phone 951 681-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RIZWAN BADAR MD

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