05D0988397 CLIA NUMBER - REDLANDS COMMUNITY HOSP FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 05D0988397
  • Facility Name: REDLANDS COMMUNITY HOSP FAMILY CLINIC
  • Facility Address: 802 WEST COLTON AVE, SUITE E
    REDLANDS, CA
    ZIP 92374
  • Facility Phone: 909 792-0298
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: STEVEN WILSON MD
  • NPI Number: 1669512059
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D0988397
LAB Type Community Clinic
Facility Name REDLANDS COMMUNITY HOSP FAMILY CLINIC
Street 802 WEST COLTON AVE, SUITE E
City REDLANDS
State CA
ZIP 92374
Phone 909 792-0298
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 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Community Clinic
Lab Director STEVEN WILSON MD

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