05D1087149 CLIA NUMBER - JUDITH M BEDOY M D THE CHILDREN'S DOCTOR PROFESSIONAL MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D1087149
  • Facility Name: JUDITH M BEDOY M D THE CHILDREN'S DOCTOR PROFESSIONAL MEDICAL CORP
  • Facility Address: 3975 JACKSON ST SUITE 207
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 352-2092
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDITH M. BEDOY MD
  • NPI Number: 1396831145
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1087149
LAB Type Physician Office
Facility Name JUDITH M BEDOY M D THE CHILDREN'S DOCTOR PROFESSIONAL MEDICAL CORP
Street 3975 JACKSON ST SUITE 207
City RIVERSIDE
State CA
ZIP 92503
Phone 951 352-2092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director JUDITH M. BEDOY MD

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