05D2219492 CLIA NUMBER - RIIID MEDICAL GROUP IRVINE

Home > CLIA Lookup > 05D2219492

Laboratory Demographics

CLIA Number: 05D2219492

Facility Name: RIIID MEDICAL GROUP IRVINE

Facility Address:
16100 SAND CANYON AVENUE, SUITE 240
IRVINE, CA
ZIP 92618
Get Directions

Facility Phone Number: 949 393-7443

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437770468

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	05D2219492
LAB Type	Physician Office
Facility Name	RIIID MEDICAL GROUP IRVINE
Street	16100 SAND CANYON AVENUE, SUITE 240
City	IRVINE
State	CA
ZIP	92618
Phone	949 393-7443
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
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