05D2312661 CLIA NUMBER - RATTNER VASCULAR MEDICAL CENTER ASC, LL DBA NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 05D2312661
  • Facility Name: RATTNER VASCULAR MEDICAL CENTER ASC, LL DBA NEPHROLOGY
  • Facility Address: 4334 CENTRAL AVE
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 248-1291
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ZACHERY RATTNER
  • NPI Number: 1255172755
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2312661
LAB Type Ambulatory Surgery Center
Facility Name RATTNER VASCULAR MEDICAL CENTER ASC, LL DBA NEPHROLOGY
Street 4334 CENTRAL AVE
City RIVERSIDE
State CA
ZIP 92506
Phone 951 248-1291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director ZACHERY RATTNER

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