05D2102172 CLIA NUMBER - RIVERSIDE OUTPATIENT SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2102172
  • Facility Name: RIVERSIDE OUTPATIENT SURGICAL INSTITUTE
  • Facility Address: 4500 BROCKTON AVE STE 105
    RIVERSIDE, CA
    ZIP 92501
  • Facility Phone: 951 784-4088
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: REEKESH PATEL
  • NPI Number: 1558759969
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2102172
LAB Type Ambulatory Surgery Center
Facility Name RIVERSIDE OUTPATIENT SURGICAL INSTITUTE
Street 4500 BROCKTON AVE STE 105
City RIVERSIDE
State CA
ZIP 92501
Phone 951 784-4088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Ambulatory Surgery Center
Lab Director REEKESH PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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