05D2052001 CLIA NUMBER - MISSION CITY COMMUNITY NETWORK INC - VICTORVILLE

Laboratory Demographics

  • CLIA Code: 05D2052001
  • Facility Name: MISSION CITY COMMUNITY NETWORK INC - VICTORVILLE
  • Facility Address: 15201 11TH ST STE 300
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 818 895-3100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN REINER
  • NPI Number: 1710102009
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052001
LAB Type Community Clinic
Facility Name MISSION CITY COMMUNITY NETWORK INC - VICTORVILLE
Street 15201 11TH ST STE 300
City VICTORVILLE
State CA
ZIP 92395
Phone 818 895-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Community Clinic
Lab Director DR. STEVEN REINER

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