Organization
COUNTY OF RIVERSIDE
Active
Other names
Public Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY WON-CHEN LEUNG MD (PUBLIC HEALTH OFFICER)
(951) 358-5070
Entity
Organization
Contact information
Practice address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5070
(951) 358-5015
Mailing address
PO BOX 7600, RIVERSIDE, CA 92513-7600
(951) 358-5070
(951) 358-5015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1158 PUBLIC HEALTH
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0571882
CLIA #
CA
05
—
LAB71882F
—
CA
Enumeration date
10/04/2006
Last updated
07/17/2024
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