05D1024071 CLIA NUMBER - BENNY J GUZMAN MD

Laboratory Demographics

  • CLIA Code: 05D1024071
  • Facility Name: BENNY J GUZMAN MD
  • Facility Address: 5827 PINE AVE STE A
    CHINO HILLS, CA
    ZIP 91709
  • Facility Phone: 909 613-0016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENNY J. GUZMAN
  • NPI Number: 1710988035
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1024071
LAB Type Physician Office
Facility Name BENNY J GUZMAN MD
Street 5827 PINE AVE STE A
City CHINO HILLS
State CA
ZIP 91709
Phone 909 613-0016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director BENNY J. GUZMAN

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