05D1028337 CLIA NUMBER - CONCENTRA - COLTON

Laboratory Demographics

  • CLIA Code: 05D1028337
  • Facility Name: CONCENTRA - COLTON
  • Facility Address: 850 E WASHINGTON ST
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 370-0572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH WRESCH
  • NPI Number: 1912334889
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D1028337
LAB Type Physician Office
Facility Name CONCENTRA - COLTON
Street 850 E WASHINGTON ST
City COLTON
State CA
ZIP 92324
Phone 909 370-0572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director KEITH WRESCH

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