05D1101790 CLIA NUMBER - VALENTINE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1101790
  • Facility Name: VALENTINE MEDICAL CLINIC
  • Facility Address: 8990 GARFIELD ST STE 6
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 343-1616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALENTINE U. OTUECHERE, MD
  • NPI Number: 1508896275
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1101790
LAB Type Physician Office
Facility Name VALENTINE MEDICAL CLINIC
Street 8990 GARFIELD ST STE 6
City RIVERSIDE
State CA
ZIP 92503
Phone 951 343-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Physician Office
Lab Director VALENTINE U. OTUECHERE, MD

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