05D0573400 CLIA NUMBER - ERIC M CHEN, MD

Laboratory Demographics

  • CLIA Code: 05D0573400
  • Facility Name: ERIC M CHEN, MD
  • Facility Address: 14050 CHERRY AVE C
    FONTANA, CA
    ZIP 92337
  • Facility Phone: 909 823-5220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIC M. CHEN
  • NPI Number: 1871697250
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0573400
LAB Type Physician Office
Facility Name ERIC M CHEN, MD
Street 14050 CHERRY AVE C
City FONTANA
State CA
ZIP 92337
Phone 909 823-5220
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ERIC M. CHEN

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