05D2127675 CLIA NUMBER - TEMECULA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2127675
  • Facility Name: TEMECULA MEDICAL GROUP
  • Facility Address: 27555 YNEZ RD STE 102
    TEMECULA, CA
    ZIP 92591
  • Facility Phone: 951 302-2526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD H. RAWSON
  • NPI Number: 1053751941
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2127675
LAB Type Physician Office
Facility Name TEMECULA MEDICAL GROUP
Street 27555 YNEZ RD STE 102
City TEMECULA
State CA
ZIP 92591
Phone 951 302-2526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director RICHARD H. RAWSON

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