05D1033898 CLIA NUMBER - AMERICAN MEDICAL RESPONSE

Laboratory Demographics

CLIA Number: 05D1033898

Facility Name: AMERICAN MEDICAL RESPONSE

Facility Address:
5257 N VINCENT AVE
IRWINDALE, CA
ZIP 91706
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Facility Phone Number: 626 633-4670

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1053861070

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	05D1033898
LAB Type	Ambulance
Facility Name	AMERICAN MEDICAL RESPONSE
Street	5257 N VINCENT AVE
City	IRWINDALE
State	CA
ZIP	91706
Phone	626 633-4670
CertificateType	4
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024