05D1036270 CLIA NUMBER - YOLANDA T GRADY MD INC

Laboratory Demographics

  • CLIA Code: 05D1036270
  • Facility Name: YOLANDA T GRADY MD INC
  • Facility Address: 13768 ROSWELL AVE 202
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 628-4205
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOLANDA T. GRADY MD
  • NPI Number: 1235135518
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1036270
LAB Type Physician Office
Facility Name YOLANDA T GRADY MD INC
Street 13768 ROSWELL AVE 202
City CHINO
State CA
ZIP 91710
Phone 909 628-4205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director YOLANDA T. GRADY MD

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