05D1018465 CLIA NUMBER - MAX V SOLIGUEN MD

Laboratory Demographics

  • CLIA Code: 05D1018465
  • Facility Name: MAX V SOLIGUEN MD
  • Facility Address: 1183 E FOOTHILL BLVD #230
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 920-9050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX V. SOLIGUEN
  • NPI Number: 1700866894
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1018465
LAB Type Physician Office
Facility Name MAX V SOLIGUEN MD
Street 1183 E FOOTHILL BLVD #230
City UPLAND
State CA
ZIP 91786
Phone 909 920-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director MAX V. SOLIGUEN

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