05D0898727 CLIA NUMBER - CORWIN URGENT CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0898727
  • Facility Name: CORWIN URGENT CARE CENTER INC
  • Facility Address: 16070 TUSCOLA RD STE 101
    APPLE VALLEY, CA
    ZIP 92307
  • Facility Phone: 760 242-4000
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAWIT MAMO MD
  • NPI Number: 1386768448
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0898727
LAB Type Other
Facility Name CORWIN URGENT CARE CENTER INC
Street 16070 TUSCOLA RD STE 101
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 242-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Other
Lab Director DAWIT MAMO MD

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