05D2273897 CLIA NUMBER - VOLTA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2273897
  • Facility Name: VOLTA MEDICAL GROUP
  • Facility Address: 9415 MISSION BLVD, STE P
    JURUPA VALLEY, CA
    ZIP 92509
  • Facility Phone: 833 865-8263
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TERESA T. VARGAS
  • NPI Number: 1245972306
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2273897
LAB Type Community Clinic
Facility Name VOLTA MEDICAL GROUP
Street 9415 MISSION BLVD, STE P
City JURUPA VALLEY
State CA
ZIP 92509
Phone 833 865-8263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Community Clinic
Lab Director TERESA T. VARGAS

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