05D2131295 CLIA NUMBER - RIVERSIDE MARKET CLINIC

Laboratory Demographics

  • CLIA Code: 05D2131295
  • Facility Name: RIVERSIDE MARKET CLINIC
  • Facility Address: 6200 VAN BUREN BLVD
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 358-0255
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HITESH PATEL
  • NPI Number: 1629490198
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2131295
LAB Type Practitioner Other
Facility Name RIVERSIDE MARKET CLINIC
Street 6200 VAN BUREN BLVD
City RIVERSIDE
State CA
ZIP 92503
Phone 951 358-0255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Practitioner Other
Lab Director HITESH PATEL

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