05D2282664 CLIA NUMBER - MENIFEE GLOBAL MULTI-SPECIALTY GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2282664
  • Facility Name: MENIFEE GLOBAL MULTI-SPECIALTY GROUP INC
  • Facility Address: 29826 HUAN RD STE 201
    MENIFEE, CA
    ZIP 92586
  • Facility Phone: 951 301-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE A. MARTINEZ
  • NPI Number: 1932110632
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2282664
LAB Type Physician Office
Facility Name MENIFEE GLOBAL MULTI-SPECIALTY GROUP INC
Street 29826 HUAN RD STE 201
City MENIFEE
State CA
ZIP 92586
Phone 951 301-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director JORGE A. MARTINEZ

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