RIVERSIDE LIFE SERVICES
NPI 1114288586
Clinic/Center - Community Health in Riverside, CA

Q: What is Riverside Life Services, Inc's NPI number?

The NPI number for Riverside Life Services, Inc is 1114288586. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is also known as Riverside Life Services.

Q: What is Riverside Life Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since June 01, 2012CLIA 05D2028096 · Microscopy

3727 MCCRAY ST, RIVERSIDE, CA 92506(951) 784-2422(951) 276-2907 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Life Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE LIFE SERVICES (NPI 1114288586) is a healthcare organization registered as a community health in Riverside, California and active in the NPI registry since June 2012. The organization holds a CLIA Microscopy certificate valid through August 10, 2027 and lists Thomas Minahan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114288586

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameRIVERSIDE LIFE SERVICES, INC

Location Address3727 MCCRAY STRiverside, CA 92506-2928

Mailing Address3727 Mccray StRiverside, CA 92506-2928 · (951) 784-2422 · Fax (951) 276-2907

Phone(951) 784-2422

Fax(951) 276-2907

Organization SubpartNo

Authorized OfficialThomas MinahanMedical Director · (951) 340-1002

Enumeration DateJune 1, 2012

✔ NPI 1114288586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

3727 MCCRAY ST, Riverside, CA 92506

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Other Names 1

Other NameRiverside Life Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2028096

Riverside Life Services · Riverside, CA

Active · expires Aug 10, 2027

CLIA Number05D2028096

Laboratory TypeCommunity Clinic

Certificate Effective DateAugust 11, 2025

Certificate Expiration DateAugust 10, 2027

Laboratory DirectorThomas F. Minahan

Laboratory Phone(951) 784-2422

Laboratory LocationRiverside Life Services3727 Mccray St, Riverside, CA 92506

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Life Services, Inc's NPI number?

The NPI number for Riverside Life Services, Inc is 1114288586. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is also known as Riverside Life Services.

Where is Riverside Life Services, Inc located?

Riverside Life Services, Inc is located at 3727 Mccray St, Riverside, CA 92506. The listed phone number is (951) 784-2422.

What is Riverside Life Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Riverside Life Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2028096) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Life Services, Inc was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.