05D0563916 CLIA NUMBER - ELLIOT WEINSTEIN MD

Laboratory Demographics

  • CLIA Code: 05D0563916
  • Facility Name: ELLIOT WEINSTEIN MD
  • Facility Address: 8283 GROVE AVENUE, #203
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 714 621-0973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLIOT S. WEINSTEIN
  • NPI Number: 1114086394
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0563916
LAB Type Physician Office
Facility Name ELLIOT WEINSTEIN MD
Street 8283 GROVE AVENUE, #203
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 714 621-0973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ELLIOT S. WEINSTEIN

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