05D2299652 CLIA NUMBER - APPLE URGENT CARE-SAN JACINTO

Laboratory Demographics

  • CLIA Code: 05D2299652
  • Facility Name: APPLE URGENT CARE-SAN JACINTO
  • Facility Address: 621 N STATE ST, SUITE A
    SAN JACINTO, CA
    ZIP 92583
  • Facility Phone: 951 654-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURYA REDDY
  • NPI Number: 1356117972
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2299652
LAB Type Physician Office
Facility Name APPLE URGENT CARE-SAN JACINTO
Street 621 N STATE ST, SUITE A
City SAN JACINTO
State CA
ZIP 92583
Phone 951 654-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director SURYA REDDY

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