05D0858699 CLIA NUMBER - STEVEN WILSON MD

Laboratory Demographics

  • CLIA Code: 05D0858699
  • Facility Name: STEVEN WILSON MD
  • Facility Address: 1201 BROOKSIDE AVENUE
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 798-3331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN WILSON MD
  • NPI Number: 1548291081
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0858699
LAB Type Physician Office
Facility Name STEVEN WILSON MD
Street 1201 BROOKSIDE AVENUE
City REDLANDS
State CA
ZIP 92373
Phone 909 798-3331
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 STEVEN WILSON MD

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