05D0677550 CLIA NUMBER - HOLLENBERG, AGRAWAL, KNOLL, WARREN, HONG, & TILLIS

Laboratory Demographics

CLIA Number: 05D0677550

Facility Name: HOLLENBERG, AGRAWAL, KNOLL, WARREN, HONG, & TILLIS

Facility Address:
250 W BONITA AVE STE 200
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 620-1935

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366447781

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D0677550
LAB Type	Physician Office
Facility Name	HOLLENBERG, AGRAWAL, KNOLL, WARREN, HONG, & TILLIS
Street	250 W BONITA AVE STE 200
City	POMONA
State	CA
ZIP	91767
Phone	909 620-1935
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024