05D2107976 CLIA NUMBER - HEMET MEDICAL AND DENTAL CENTER DBA INNERCARE

Laboratory Demographics

  • CLIA Code: 05D2107976
  • Facility Name: HEMET MEDICAL AND DENTAL CENTER DBA INNERCARE
  • Facility Address: 1023 E FLORIDA AVE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 599-8403
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ALLAN WU
  • NPI Number: 1134749021
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2107976
LAB Type Federally Qualified Health Center
Facility Name HEMET MEDICAL AND DENTAL CENTER DBA INNERCARE
Street 1023 E FLORIDA AVE
City HEMET
State CA
ZIP 92543
Phone 951 599-8403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Federally Qualified Health Center
Lab Director ALLAN WU

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