05D0564291 CLIA NUMBER - MT SAN ANTONIO GARDENS

Laboratory Demographics

  • CLIA Code: 05D0564291
  • Facility Name: MT SAN ANTONIO GARDENS
  • Facility Address: 900 E HARRISON AVE
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 624-5061
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DALJINDER TAKHAR
  • NPI Number: 1609859461
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0564291
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MT SAN ANTONIO GARDENS
Street 900 E HARRISON AVE
City POMONA
State CA
ZIP 91767
Phone 909 624-5061
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 Skilled Nursing Facility/Nursing Facility
Lab Director DALJINDER TAKHAR

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