05D2057174 CLIA NUMBER - RAINCROSS WOMEN'S MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2057174

Facility Name: RAINCROSS WOMEN'S MEDICAL GROUP

Facility Address:
6767 BROCKTON AVE.
RIVERSIDE, CA
ZIP 92506
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Facility Phone Number: 951 823-0441

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912248782

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2057174
LAB Type	Physician Office
Facility Name	RAINCROSS WOMEN'S MEDICAL GROUP
Street	6767 BROCKTON AVE.
City	RIVERSIDE
State	CA
ZIP	92506
Phone	951 823-0441
CertificateType	3
CertificateEffectiveDate	4/10/2023
CertificateExpirationDate	4/9/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024