05D2120985 CLIA NUMBER - MFI - A WOMAN'S PLACE

Laboratory Demographics

  • CLIA Code: 05D2120985
  • Facility Name: MFI - A WOMAN'S PLACE
  • Facility Address: 4295 BROCKTON AVE
    RIVERSIDE, CA
    ZIP 92501
  • Facility Phone: 951 683-6596
  • Facility Type: Other - SUBSTANCE ABUSE TX CENTER
  • Facility Type: Waiver
  • Lab Director: JULIE KASARJIAN
  • NPI Number: 1184848269
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2120985
LAB Type Other - SUBSTANCE ABUSE TX CENTER
Facility Name MFI - A WOMAN'S PLACE
Street 4295 BROCKTON AVE
City RIVERSIDE
State CA
ZIP 92501
Phone 951 683-6596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Other - SUBSTANCE ABUSE TX CENTER
Lab Director JULIE KASARJIAN

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