05D1003556 CLIA NUMBER - MICHAEL CHAI MD INC

Laboratory Demographics

  • CLIA Code: 05D1003556
  • Facility Name: MICHAEL CHAI MD INC
  • Facility Address: 490 N MOUNTAIN AVE #B
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 920-6672
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL CHAI MD
  • NPI Number: 1083748727
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1003556
LAB Type Physician Office
Facility Name MICHAEL CHAI MD INC
Street 490 N MOUNTAIN AVE #B
City UPLAND
State CA
ZIP 91786
Phone 909 920-6672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director MICHAEL CHAI MD

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