05D0945012 CLIA NUMBER - THOMAS W LEE, MD

Laboratory Demographics

  • CLIA Code: 05D0945012
  • Facility Name: THOMAS W LEE, MD
  • Facility Address: 930 E FOOTHILL BLVD, SUITE 2
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 946-2277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS W. LEE
  • NPI Number: 1285614693
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0945012
LAB Type Physician Office
Facility Name THOMAS W LEE, MD
Street 930 E FOOTHILL BLVD, SUITE 2
City UPLAND
State CA
ZIP 91786
Phone 909 946-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director THOMAS W. LEE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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