05D1046843 CLIA NUMBER - CAL CHOICE FAMILY PRACTICE, INC

Laboratory Demographics

  • CLIA Code: 05D1046843
  • Facility Name: CAL CHOICE FAMILY PRACTICE, INC
  • Facility Address: 16245 DESERT KNOLL DR
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 955-9555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YVONNE TELGT-MCKINNEY
  • NPI Number: 1164448593
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1046843
LAB Type Physician Office
Facility Name CAL CHOICE FAMILY PRACTICE, INC
Street 16245 DESERT KNOLL DR
City VICTORVILLE
State CA
ZIP 92395
Phone 760 955-9555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director YVONNE TELGT-MCKINNEY

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This page was last updated on: 3/20/2025