05D0573353 CLIA NUMBER - THAWAT EOSAKUL MD, INC.

Laboratory Demographics

CLIA Number: 05D0573353

Facility Name: THAWAT EOSAKUL MD, INC.

Facility Address:
16860 SEVILLE AVE
FONTANA, CA
ZIP 92335
16860 SEVILLE AVE
FONTANA, CA
ZIP 92335
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Facility Phone Number: (909) 350-3091

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1811904519

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 05D0573353
LAB Type PHYSICIAN OFFICE
Facility Name THAWAT EOSAKUL MD, INC.
Street 16860 SEVILLE AVE
City FONTANA
State CA
ZIP 92335
Phone (909) 350-3091
CLIA Number 05D0573353
LAB Type PHYSICIAN OFFICE
Facility Name THAWAT EOSAKUL MD, INC.
Street 16860 SEVILLE AVE
City FONTANA
State CA
ZIP 92335
Phone (909) 350-3091

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This page was last updated on: 1/7/2022