05D2230268 CLIA NUMBER - SUMMIT PEDIATRIC MEDICAL CLINIC INC.

Laboratory Demographics

  • CLIA Code: 05D2230268
  • Facility Name: SUMMIT PEDIATRIC MEDICAL CLINIC INC.
  • Facility Address: 29995 TECHNOLOGY DR. UNIT A100
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 412-1610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON YAN
  • NPI Number: 1174128482
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2230268
LAB Type Physician Office
Facility Name SUMMIT PEDIATRIC MEDICAL CLINIC INC.
Street 29995 TECHNOLOGY DR. UNIT A100
City MURRIETA
State CA
ZIP 92563
Phone 951 412-1610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director LEON YAN

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