05D0564183 CLIA NUMBER - NEW HOPE CANCER AND RESEARCH INSTITUTE INC

Laboratory Demographics

CLIA Number: 05D0564183

Facility Name: NEW HOPE CANCER AND RESEARCH INSTITUTE INC

Facility Address:
350 VINTON AVENUE, SUITE 101
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 620-5502

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336283811

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	05D0564183
LAB Type	Physician Office
Facility Name	NEW HOPE CANCER AND RESEARCH INSTITUTE INC
Street	350 VINTON AVENUE, SUITE 101
City	POMONA
State	CA
ZIP	91767
Phone	909 620-5502
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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