05D2054569 CLIA NUMBER - ALESSANDRO CLINICA MEDICA FAMILIAR

Laboratory Demographics

  • CLIA Code: 05D2054569
  • Facility Name: ALESSANDRO CLINICA MEDICA FAMILIAR
  • Facility Address: 13925 INDIAN ST
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 855 505-7467
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER R. RIOS
  • NPI Number: 1417027202
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2054569
LAB Type Physician Office
Facility Name ALESSANDRO CLINICA MEDICA FAMILIAR
Street 13925 INDIAN ST
City MORENO VALLEY
State CA
ZIP 92553
Phone 855 505-7467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director JAVIER R. RIOS

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