05D1032662 CLIA NUMBER - H STREET CLINIC

Laboratory Demographics

  • CLIA Code: 05D1032662
  • Facility Name: H STREET CLINIC
  • Facility Address: 1329 NORTH H STREET
    SAN BERNARDINO, CA
    ZIP 92405
  • Facility Phone: 909 381-0803
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ABDOULAYE DIOP
  • NPI Number: 1528653482
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1032662
LAB Type Federally Qualified Health Center
Facility Name H STREET CLINIC
Street 1329 NORTH H STREET
City SAN BERNARDINO
State CA
ZIP 92405
Phone 909 381-0803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Federally Qualified Health Center
Lab Director ABDOULAYE DIOP

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