05D0998531 CLIA NUMBER - CONCENTRA - ONTARIO GROVE

Laboratory Demographics

CLIA Number: 05D0998531

Facility Name: CONCENTRA - ONTARIO GROVE

Facility Address:
2171 S GROVE AVENUE SUITE A
ONTARIO, CA
ZIP 91761
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Facility Phone Number: (909) 923-4080

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609025774

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0998531
LAB Type	PHYSICIAN OFFICE
Facility Name	CONCENTRA - ONTARIO GROVE
Street	2171 S GROVE AVENUE SUITE A
City	ONTARIO
State	CA
ZIP	91761
Phone	(909) 923-4080

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