05D2304576 CLIA NUMBER - TELECARE WESTERN RIVERSIDE MENTAL HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2304576
  • Facility Name: TELECARE WESTERN RIVERSIDE MENTAL HEALTH URGENT CARE
  • Facility Address: 9890 COUNTY FARM RD, BLDG 2
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 509-2499
  • Facility Type: Other - MENTAL HEALTH STABALIZATI
  • Facility Type: Waiver
  • Lab Director: ANN E. STYRVOKY
  • NPI Number: 1790410868
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2304576
LAB Type Other - MENTAL HEALTH STABALIZATI
Facility Name TELECARE WESTERN RIVERSIDE MENTAL HEALTH URGENT CARE
Street 9890 COUNTY FARM RD, BLDG 2
City RIVERSIDE
State CA
ZIP 92503
Phone 951 509-2499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - MENTAL HEALTH STABALIZATI
Lab Director ANN E. STYRVOKY

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