05D2267484 CLIA NUMBER - THE MAVEN GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2267484
  • Facility Name: THE MAVEN GROUP INC
  • Facility Address: 1850 N RIVERSIDE AVE STE 180
    RIALTO, CA
    ZIP 92376
  • Facility Phone: 909 787-1987
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADINE LYSEIGHT
  • NPI Number: 1487323572
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2267484
LAB Type Physician Office
Facility Name THE MAVEN GROUP INC
Street 1850 N RIVERSIDE AVE STE 180
City RIALTO
State CA
ZIP 92376
Phone 909 787-1987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director NADINE LYSEIGHT

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