05D2278401 CLIA NUMBER - RIVERSIDE PRIMARY CARE DOCTORS - INC

Laboratory Demographics

  • CLIA Code: 05D2278401
  • Facility Name: RIVERSIDE PRIMARY CARE DOCTORS - INC
  • Facility Address: 9041 MAGNOLIA AVE UNIT 6
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 224-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAYAD FADY
  • NPI Number: 1831812072
  • Taxonomy: 207QA0505X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2278401
LAB Type Physician Office
Facility Name RIVERSIDE PRIMARY CARE DOCTORS - INC
Street 9041 MAGNOLIA AVE UNIT 6
City RIVERSIDE
State CA
ZIP 92503
Phone 951 224-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director FAYAD FADY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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