05D0710832 CLIA NUMBER - EUNICE BOLIVAR MD

Laboratory Demographics

  • CLIA Code: 05D0710832
  • Facility Name: EUNICE BOLIVAR MD
  • Facility Address: 598 NORTH F ST
    SAN BERNARDINO, CA
    ZIP 92410
  • Facility Phone: 909 888-8152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUNICE N. BOLIVAR
  • NPI Number: 1811929367
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0710832
LAB Type Physician Office
Facility Name EUNICE BOLIVAR MD
Street 598 NORTH F ST
City SAN BERNARDINO
State CA
ZIP 92410
Phone 909 888-8152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EUNICE N. BOLIVAR

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