05D0857676 CLIA NUMBER - JAMES J WU MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 05D0857676

Facility Name: JAMES J WU MEDICAL CORPORATION

Facility Address:
1818 N ORANGE GROVE AVE STE 200
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 622-6433

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356571731

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	05D0857676
LAB Type	Physician Office
Facility Name	JAMES J WU MEDICAL CORPORATION
Street	1818 N ORANGE GROVE AVE STE 200
City	POMONA
State	CA
ZIP	91767
Phone	909 622-6433
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