05D2020566 CLIA NUMBER - MARCELLA BONNICI, MD A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2020566
  • Facility Name: MARCELLA BONNICI, MD A PROFESSIONAL CORPORATION
  • Facility Address: 36320 INLAND VALLEY DR STE 201
    WILDOMAR, CA
    ZIP 92595
  • Facility Phone: 951 816-3233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCELLA A. BONNICI
  • NPI Number: 1245341460
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2020566
LAB Type Physician Office
Facility Name MARCELLA BONNICI, MD A PROFESSIONAL CORPORATION
Street 36320 INLAND VALLEY DR STE 201
City WILDOMAR
State CA
ZIP 92595
Phone 951 816-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director MARCELLA A. BONNICI

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