05D2303760 CLIA NUMBER - EVERSIDE HEALTH REEP

Laboratory Demographics

  • CLIA Code: 05D2303760
  • Facility Name: EVERSIDE HEALTH REEP
  • Facility Address: 25395 HANCOCK AVE, STE 200
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 229-0708
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: JOHN LANDSBERG
  • NPI Number: 1396512406
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2303760
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH REEP
Street 25395 HANCOCK AVE, STE 200
City MURRIETA
State CA
ZIP 92562
Phone 951 229-0708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - CHRONIC MGT
Lab Director JOHN LANDSBERG

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