05D2216215 CLIA NUMBER - TEMECULA CLINICA MEDICA FAMILIAR

Laboratory Demographics

CLIA Number: 05D2216215

Facility Name: TEMECULA CLINICA MEDICA FAMILIAR

Facility Address:
27625 JEFFERSON AVE STE 101
TEMECULA, CA
ZIP 92590
Get Directions

Facility Phone Number: 951 523-0117

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104429570

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2216215
LAB Type	Physician Office
Facility Name	TEMECULA CLINICA MEDICA FAMILIAR
Street	27625 JEFFERSON AVE STE 101
City	TEMECULA
State	CA
ZIP	92590
Phone	951 523-0117
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024