05D2048009 CLIA NUMBER - BENJAMIN CHUNG MD INC DBA RIVERWALK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2048009
  • Facility Name: BENJAMIN CHUNG MD INC DBA RIVERWALK SURGERY CENTER
  • Facility Address: 4244 RIVERWALK PKWY STE 210
    RIVERSIDE, CA
    ZIP 92505
  • Facility Phone: 951 321-0100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BENJAMIN CHUNG
  • NPI Number: 1497011308
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2048009
LAB Type Ambulatory Surgery Center
Facility Name BENJAMIN CHUNG MD INC DBA RIVERWALK SURGERY CENTER
Street 4244 RIVERWALK PKWY STE 210
City RIVERSIDE
State CA
ZIP 92505
Phone 951 321-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Ambulatory Surgery Center
Lab Director BENJAMIN CHUNG

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