05D2154543 CLIA NUMBER - ADVANTAGE HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 05D2154543
  • Facility Name: ADVANTAGE HEALTH SYSTEMS
  • Facility Address: 4100 LATHAM STREET SUITE E
    RIVERSIDE, CA
    ZIP 92501
  • Facility Phone: 951 393-1333
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARK ALLEN SHAFFER
  • NPI Number: 1801345731
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2154543
LAB Type Hospice
Facility Name ADVANTAGE HEALTH SYSTEMS
Street 4100 LATHAM STREET SUITE E
City RIVERSIDE
State CA
ZIP 92501
Phone 951 393-1333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Hospice
Lab Director MARK ALLEN SHAFFER

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