05D0920193 CLIA NUMBER - CLINICA MEDICA SAN MIGUEL

Laboratory Demographics

CLIA Number: 05D0920193

Facility Name: CLINICA MEDICA SAN MIGUEL

Facility Address:
825 N PARK AVE
POMONA, CA
ZIP 91768
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Facility Phone Number: (909) 622-9988

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609095660

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D0920193
LAB Type PHYSICIAN OFFICE
Facility Name CLINICA MEDICA SAN MIGUEL
Street 825 N PARK AVE
City POMONA
State CA
ZIP 91768
Phone (909) 622-9988

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This page was last updated on: 5/11/2023