05D2239918 CLIA NUMBER - MURRIETA VA CLINIC

Laboratory Demographics

  • CLIA Code: 05D2239918
  • Facility Name: MURRIETA VA CLINIC
  • Facility Address: 25125 MADISON AVE STE 104
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 703 578-6030
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RAYMOND WONG
  • NPI Number: 1801976410
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D2239918
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MURRIETA VA CLINIC
Street 25125 MADISON AVE STE 104
City MURRIETA
State CA
ZIP 92562
Phone 703 578-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RAYMOND WONG

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