05D2101184 CLIA NUMBER - MED PED ID , INCORPORATED

Laboratory Demographics

CLIA Number: 05D2101184

Facility Name: MED PED ID , INCORPORATED

Facility Address:
28078 BAXTER RD STE 320
MURRIETA, CA
ZIP 92563
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Facility Phone Number: 951 679-5811

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245330364

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	05D2101184
LAB Type	Physician Office
Facility Name	MED PED ID , INCORPORATED
Street	28078 BAXTER RD STE 320
City	MURRIETA
State	CA
ZIP	92563
Phone	951 679-5811
CertificateType	4
CertificateEffectiveDate	8/28/2023
CertificateExpirationDate	8/27/2025
FacilityType	Waiver

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