05D0888670 CLIA NUMBER - OLUSOLA A OYEMADE MD FAAP INC

Laboratory Demographics

  • CLIA Code: 05D0888670
  • Facility Name: OLUSOLA A OYEMADE MD FAAP INC
  • Facility Address: 7777 MILLIKEN AVENUE SUITE 360
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 944-7099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUSOLA A. OYEMADE MD
  • NPI Number: 1649297573
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0888670
LAB Type Physician Office
Facility Name OLUSOLA A OYEMADE MD FAAP INC
Street 7777 MILLIKEN AVENUE SUITE 360
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 944-7099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director OLUSOLA A. OYEMADE MD

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