05D0575467 CLIA NUMBER - UNICARE COMMUNITY HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 05D0575467

Facility Name: UNICARE COMMUNITY HEALTH CENTER INC

Facility Address:
107 N MCKINLEY ST
CORONA, CA
ZIP 92879
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Facility Phone Number: 951 358-0141

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1265999296

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0575467
LAB Type	Federally Qualified Health Center
Facility Name	UNICARE COMMUNITY HEALTH CENTER INC
Street	107 N MCKINLEY ST
City	CORONA
State	CA
ZIP	92879
Phone	951 358-0141
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