05D2097208 CLIA NUMBER - RUBEN M RUIZ III MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2097208
  • Facility Name: RUBEN M RUIZ III MEDICAL CENTER
  • Facility Address: 3012 N SAN GABRIEL BLVD
    ROSEMEAD, CA
    ZIP 91770
  • Facility Phone: 626 572-8692
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUBEN M. RUIZ III
  • NPI Number: 1699701581
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2097208
LAB Type Physician Office
Facility Name RUBEN M RUIZ III MEDICAL CENTER
Street 3012 N SAN GABRIEL BLVD
City ROSEMEAD
State CA
ZIP 91770
Phone 626 572-8692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director RUBEN M. RUIZ III

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