05D0697535 CLIA NUMBER - HUU D VO MD

Laboratory Demographics

CLIA Number: 05D0697535

Facility Name: HUU D VO MD

Facility Address:
1182 E HOLT AVE #B
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 623-8502

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811941909

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	05D0697535
LAB Type	Physician Office
Facility Name	HUU D VO MD
Street	1182 E HOLT AVE #B
City	POMONA
State	CA
ZIP	91767
Phone	909 623-8502
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