05D1018189 CLIA NUMBER - ALWAN MD INC

Laboratory Demographics

  • CLIA Code: 05D1018189
  • Facility Name: ALWAN MD INC
  • Facility Address: 1310 SAN BERNARDINO RD STE 205
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 981-9991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONHANAD M. ALWAN MD
  • NPI Number: 1255573119
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1018189
LAB Type Physician Office
Facility Name ALWAN MD INC
Street 1310 SAN BERNARDINO RD STE 205
City UPLAND
State CA
ZIP 91786
Phone 909 981-9991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director MONHANAD M. ALWAN MD

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