05D0968635 CLIA NUMBER - JEAN-CLAUDE HAGE MD

Laboratory Demographics

  • CLIA Code: 05D0968635
  • Facility Name: JEAN-CLAUDE HAGE MD
  • Facility Address: 399 E HIGHLAND AVE STE 222
    SAN BERNARDINO, CA
    ZIP 92404
  • Facility Phone: 909 886-4917
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HAGE JEAN-CLAUDE MD
  • NPI Number: 1982646832
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0968635
LAB Type Physician Office
Facility Name JEAN-CLAUDE HAGE MD
Street 399 E HIGHLAND AVE STE 222
City SAN BERNARDINO
State CA
ZIP 92404
Phone 909 886-4917
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 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director HAGE JEAN-CLAUDE MD

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