05D0563949 CLIA NUMBER - MONTCLAIR HOSPITAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0563949

Facility Name: MONTCLAIR HOSPITAL MEDICAL CENTER

Facility Address:
5000 SAN BERNARDINO ST
MONTCLAIR, CA
ZIP 91763
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Facility Phone Number: 909 625-8397

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1134332703

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name Field Value
CLIA Number 05D0563949
LAB Type Hospital
Facility Name MONTCLAIR HOSPITAL MEDICAL CENTER
Street 5000 SAN BERNARDINO ST
City MONTCLAIR
State CA
ZIP 91763
Phone 909 625-8397
CertificateType 1
CertificateEffectiveDate 1/14/2024
CertificateExpirationDate 1/13/2026
FacilityType Accreditation

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