05D2216215 CLIA NUMBER - TEMECULA CLINICA MEDICA FAMILIAR

Laboratory Demographics

  • CLIA Code: 05D2216215
  • Facility Name: TEMECULA CLINICA MEDICA FAMILIAR
  • Facility Address: 27625 JEFFERSON AVE STE 101
    TEMECULA, CA
    ZIP 92590
  • Facility Phone: 951 523-0117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODOLFO ROJAS
  • NPI Number: 1104429570
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director RODOLFO ROJAS

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: 6/4/2025