05D0895485 CLIA NUMBER - SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 05D0895485
  • Facility Name: SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
  • Facility Address: 590 N D STREET
    SAN BERNARDINO, CA
    ZIP 92401
  • Facility Phone: 909 387-6465
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: SHARON WANG
  • NPI Number: 1689803769
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 05D0895485
LAB Type Public Health Laboratories
Facility Name SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
Street 590 N D STREET
City SAN BERNARDINO
State CA
ZIP 92401
Phone 909 387-6465
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Public Health Laboratories
Lab Director SHARON WANG

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