05D0970406 CLIA NUMBER - CLAREMONT COLLEGES STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D0970406
  • Facility Name: CLAREMONT COLLEGES STUDENT HEALTH SERVICES
  • Facility Address: 757 COLLEGE WAY
    CLAREMONT, CA
    ZIP 91711
  • Facility Phone: 909 621-8222
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: STEPHANIE B. LONG
  • NPI Number: 1134462823
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0970406
LAB Type School/Student Health Service
Facility Name CLAREMONT COLLEGES STUDENT HEALTH SERVICES
Street 757 COLLEGE WAY
City CLAREMONT
State CA
ZIP 91711
Phone 909 621-8222
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 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type School/Student Health Service
Lab Director STEPHANIE B. LONG

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