05D1002342 CLIA NUMBER - SONIA Y TOVAR, PROFESSIONAL CORPORATION NURSING DBA CLINICA SALUD AND FAMILIA

Laboratory Demographics

CLIA Number: 05D1002342

Facility Name: SONIA Y TOVAR, PROFESSIONAL CORPORATION NURSING DBA CLINICA SALUD AND FAMILIA

Facility Address:
1019 E HOLT AVE
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 623-7799

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1194744177

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	05D1002342
LAB Type	Practitioner Other
Facility Name	SONIA Y TOVAR, PROFESSIONAL CORPORATION NURSING DBA CLINICA SALUD AND FAMILIA
Street	1019 E HOLT AVE
City	POMONA
State	CA
ZIP	91767
Phone	909 623-7799
CertificateType	4
CertificateEffectiveDate	8/5/2022
CertificateExpirationDate	8/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024