05D0564372 CLIA NUMBER - POMONA VISTA CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0564372
  • Facility Name: POMONA VISTA CARE CENTER
  • Facility Address: 651 N MAIN ST
    POMONA, CA
    ZIP 91768
  • Facility Phone: 909 623-2481
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: YASHAR A. GHOMRI, MD
  • NPI Number: 1639334006
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0564372
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name POMONA VISTA CARE CENTER
Street 651 N MAIN ST
City POMONA
State CA
ZIP 91768
Phone 909 623-2481
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 YASHAR A. GHOMRI, MD

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