05D0564251 CLIA NUMBER - HEMANT D PATEL MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0564251

Facility Name: HEMANT D PATEL MEDICAL CLINIC

Facility Address:
1968 N GAREY AVENUE
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 620-3858

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194746842

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D0564251
LAB Type Physician Office
Facility Name HEMANT D PATEL MEDICAL CLINIC
Street 1968 N GAREY AVENUE
City POMONA
State CA
ZIP 91767
Phone 909 620-3858
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