05D1022226 CLIA NUMBER - COASTAL KIDS CHINO

Laboratory Demographics

  • CLIA Code: 05D1022226
  • Facility Name: COASTAL KIDS CHINO
  • Facility Address: 13609 CENTRAL AVE, STE C
    CHINO, CA
    ZIP 91710
  • Facility Phone: 714 842-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSARIO B. RETINO
  • NPI Number: 1205849577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1022226
LAB Type Physician Office
Facility Name COASTAL KIDS CHINO
Street 13609 CENTRAL AVE, STE C
City CHINO
State CA
ZIP 91710
Phone 714 842-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director ROSARIO B. RETINO

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