05D2247735 CLIA NUMBER - RIVERSIDE CLINICAL LABORATORY INC

Laboratory Demographics

  • CLIA Code: 05D2247735
  • Facility Name: RIVERSIDE CLINICAL LABORATORY INC
  • Facility Address: 7177 BROCKTON AVE, STE 338
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 310 922-0936
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JIAFAN LIU
  • NPI Number: 1033861935
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2247735
LAB Type Independent
Facility Name RIVERSIDE CLINICAL LABORATORY INC
Street 7177 BROCKTON AVE, STE 338
City RIVERSIDE
State CA
ZIP 92506
Phone 310 922-0936
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Independent
Lab Director JIAFAN LIU

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