05D0688080 CLIA NUMBER - EMANATE HEALTH MED CENTER INTER-COMMUNITY HOSPITAL CLINICAL LAB

Laboratory Demographics

CLIA Number: 05D0688080

Facility Name: EMANATE HEALTH MED CENTER INTER-COMMUNITY HOSPITAL CLINICAL LAB

Facility Address:
210 W SAN BERNARDINO ROAD
COVINA, CA
ZIP 91723
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Facility Phone Number: 626 859-5807

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1093240004

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	05D0688080
LAB Type	Hospital
Facility Name	EMANATE HEALTH MED CENTER INTER-COMMUNITY HOSPITAL CLINICAL LAB
Street	210 W SAN BERNARDINO ROAD
City	COVINA
State	CA
ZIP	91723
Phone	626 859-5807
CertificateType	1
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Accreditation

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