05D2025452 CLIA NUMBER - RMC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2025452
  • Facility Name: RMC SURGERY CENTER LLC
  • Facility Address: 7117 BROCKTON AVE 2ND FL PROCEDURE SUITE
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 321-6307
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THU N. PHAM
  • NPI Number: 1396709077
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2025452
LAB Type Ambulatory Surgery Center
Facility Name RMC SURGERY CENTER LLC
Street 7117 BROCKTON AVE 2ND FL PROCEDURE SUITE
City RIVERSIDE
State CA
ZIP 92506
Phone 951 321-6307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Ambulatory Surgery Center
Lab Director THU N. PHAM

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This page was last updated on: 6/4/2025