05D2275522 CLIA NUMBER - RUNNING SPRING PEDIATRICS & URGENT CARE

Laboratory Demographics

CLIA Number: 05D2275522

Facility Name: RUNNING SPRING PEDIATRICS & URGENT CARE

Facility Address:
31920 HILLTOP BLVD
RUNNING SPRINGS, CA
ZIP 92382
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Facility Phone Number: 818 697-8585

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881703957

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2275522
LAB Type	Physician Office
Facility Name	RUNNING SPRING PEDIATRICS & URGENT CARE
Street	31920 HILLTOP BLVD
City	RUNNING SPRINGS
State	CA
ZIP	92382
Phone	818 697-8585
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024