05D0895021 CLIA NUMBER - CLAREMONT MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0895021

Facility Name: CLAREMONT MEDICAL CENTER

Facility Address:
995 W FOOTHILL BLVD
CLAREMONT, CA
ZIP 91711
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Facility Phone Number: 909 399-1900

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1073996252

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0895021
LAB Type	Physician Office
Facility Name	CLAREMONT MEDICAL CENTER
Street	995 W FOOTHILL BLVD
City	CLAREMONT
State	CA
ZIP	91711
Phone	909 399-1900
CertificateType	2
CertificateEffectiveDate	1/16/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024