05D2287683 CLIA NUMBER - MENIFEE DENTAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2287683
  • Facility Name: MENIFEE DENTAL GROUP
  • Facility Address: 29950 HAUN ROAD SUITE 302
    MENIFEE, CA
    ZIP 92586
  • Facility Phone: 951 679-1667
  • Facility Type: Other - DENTAL PRACTICE
  • Facility Type: Waiver
  • Lab Director: ASHLYN GHAZAL
  • NPI Number: 1053551317
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2287683
LAB Type Other - DENTAL PRACTICE
Facility Name MENIFEE DENTAL GROUP
Street 29950 HAUN ROAD SUITE 302
City MENIFEE
State CA
ZIP 92586
Phone 951 679-1667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Other - DENTAL PRACTICE
Lab Director ASHLYN GHAZAL

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