05D2170296 CLIA NUMBER - MISSION SURGICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2170296
  • Facility Name: MISSION SURGICAL CLINIC
  • Facility Address: 7300 MAGNOLIA AVENUE
    RIVERSIDE, CA
    ZIP 92504
  • Facility Phone: 951 278-8870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. CHIN
  • NPI Number: 1205289956
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2170296
LAB Type Physician Office
Facility Name MISSION SURGICAL CLINIC
Street 7300 MAGNOLIA AVENUE
City RIVERSIDE
State CA
ZIP 92504
Phone 951 278-8870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director MICHAEL S. CHIN

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