05D2142077 CLIA NUMBER - MURRIETA PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 05D2142077
  • Facility Name: MURRIETA PRIMARY CARE CLINIC
  • Facility Address: 29995 TECHNOLOGY DRIVE, SUITE 200
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 698-1118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNA AYALA, MD
  • NPI Number: 1982084596
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2142077
LAB Type Physician Office
Facility Name MURRIETA PRIMARY CARE CLINIC
Street 29995 TECHNOLOGY DRIVE, SUITE 200
City MURRIETA
State CA
ZIP 92563
Phone 951 698-1118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director JOANNA AYALA, MD

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