05D2328218 CLIA NUMBER - SPECIALIZED URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2328218
  • Facility Name: SPECIALIZED URGENT CARE
  • Facility Address: 7710 LIMONITE AVENUE SUITE 101
    JURUPA VALLEY, CA
    ZIP 92509
  • Facility Phone: 714 768-0090
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: FARIBA R. SHOKOOHY
  • NPI Number: 1770396723
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2328218
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SPECIALIZED URGENT CARE
Street 7710 LIMONITE AVENUE SUITE 101
City JURUPA VALLEY
State CA
ZIP 92509
Phone 714 768-0090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director FARIBA R. SHOKOOHY

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