05D2181507 CLIA NUMBER - CIRCLE CITY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2181507
  • Facility Name: CIRCLE CITY MEDICAL GROUP
  • Facility Address: 1820 FULLERTON AVENUE #115
    CORONA, CA
    ZIP 92881
  • Facility Phone: 951 817-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY K. MINESINGER
  • NPI Number: 1548897697
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2181507
LAB Type Physician Office
Facility Name CIRCLE CITY MEDICAL GROUP
Street 1820 FULLERTON AVENUE #115
City CORONA
State CA
ZIP 92881
Phone 951 817-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director KIMBERLY K. MINESINGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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