05D1039826 CLIA NUMBER - FOOTHILL PRIMARY CARE

Laboratory Demographics

CLIA Number: 05D1039826

Facility Name: FOOTHILL PRIMARY CARE

Facility Address:
8235 ROCHESTER AVE STE 110
RANCHO CUCAMONGA, CA
ZIP 91730
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Facility Phone Number: 909 484-4900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497760987

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1039826
LAB Type	Physician Office
Facility Name	FOOTHILL PRIMARY CARE
Street	8235 ROCHESTER AVE STE 110
City	RANCHO CUCAMONGA
State	CA
ZIP	91730
Phone	909 484-4900
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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