05D2050694 CLIA NUMBER - FOOTHILL AIDS PROJECT

Laboratory Demographics

  • CLIA Code: 05D2050694
  • Facility Name: FOOTHILL AIDS PROJECT
  • Facility Address: 5750 DIVISION ST, STE 101/102/109
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 909 482-2066
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: PHYLLIS RITCHIE
  • NPI Number: 1578850921
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2050694
LAB Type Public Health Laboratories
Facility Name FOOTHILL AIDS PROJECT
Street 5750 DIVISION ST, STE 101/102/109
City RIVERSIDE
State CA
ZIP 92506
Phone 909 482-2066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Public Health Laboratories
Lab Director PHYLLIS RITCHIE

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