05D2055821 CLIA NUMBER - CMG EXPRESS CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2055821
  • Facility Name: CMG EXPRESS CARE, INC.
  • Facility Address: 6859 MAGNOLIA AVE, #1
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 824-7887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY TRAN
  • NPI Number: 1962746404
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2055821
LAB Type Physician Office
Facility Name CMG EXPRESS CARE, INC.
Street 6859 MAGNOLIA AVE, #1
City RIVERSIDE
State CA
ZIP 92506
Phone 951 824-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director TIMOTHY TRAN

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This page was last updated on: 3/20/2025