05D0563916 CLIA NUMBER - ELLIOT WEINSTEIN MD

Laboratory Demographics

CLIA Number: 05D0563916

Facility Name: ELLIOT WEINSTEIN MD

Facility Address:
8283 GROVE AVENUE, #203
RANCHO CUCAMONGA, CA
ZIP 91730
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Facility Phone Number: 714 621-0973

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114086394

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024