05D0898644 CLIA NUMBER - GODOFREDA B SUMALANGCAY, MD

Laboratory Demographics

  • CLIA Code: 05D0898644
  • Facility Name: GODOFREDA B SUMALANGCAY, MD
  • Facility Address: 1800 N WESTERN AVENUE, SUITE 202
    SAN BERNARDINO, CA
    ZIP 92411
  • Facility Phone: 909 880-3065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GODOFREDA B. SUMALANGCAY
  • NPI Number: 1982780847
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0898644
LAB Type Physician Office
Facility Name GODOFREDA B SUMALANGCAY, MD
Street 1800 N WESTERN AVENUE, SUITE 202
City SAN BERNARDINO
State CA
ZIP 92411
Phone 909 880-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director GODOFREDA B. SUMALANGCAY

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