05D2304514 CLIA NUMBER - OPTIMUM CARE IE

Laboratory Demographics

  • CLIA Code: 05D2304514
  • Facility Name: OPTIMUM CARE IE
  • Facility Address: 2697 LYON AVENUE
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 840-4033
  • Facility Type: Other - CONGREGATE LIVING HEALTH
  • Facility Type: Waiver
  • Lab Director: SASAN SALMI
  • NPI Number: 1659135259
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304514
LAB Type Other - CONGREGATE LIVING HEALTH
Facility Name OPTIMUM CARE IE
Street 2697 LYON AVENUE
City RIVERSIDE
State CA
ZIP 92503
Phone 951 840-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - CONGREGATE LIVING HEALTH
Lab Director SASAN SALMI

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