05D2057197 CLIA NUMBER - INLAND VALLEY SURGERY CENTER

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Laboratory Demographics

CLIA Number: 05D2057197

Facility Name: INLAND VALLEY SURGERY CENTER

Facility Address:
41900 WINCHESTER RD., STE. 102
TEMECULA, CA
ZIP 92590
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Facility Phone Number: (951) 461-6502

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1184978637

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2057197
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	INLAND VALLEY SURGERY CENTER
Street	41900 WINCHESTER RD., STE. 102
City	TEMECULA
State	CA
ZIP	92590
Phone	(951) 461-6502

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This page was last updated on: 5/11/2023