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05D1046884 CLIA NUMBER - HEALTHCARE MEDICAL CLINIC OF POMONA

Laboratory Demographics

CLIA Number: 05D1046884

Facility Name: HEALTHCARE MEDICAL CLINIC OF POMONA

Facility Address:
822 N GAREY AVE
POMONA, CA
ZIP 91768
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Facility Phone Number: 909 524-0555

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205961034

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D1046884
LAB Type Physician Office
Facility Name HEALTHCARE MEDICAL CLINIC OF POMONA
Street 822 N GAREY AVE
City POMONA
State CA
ZIP 91768
Phone 909 524-0555
CertificateType 4
CertificateEffectiveDate 10/20/2023
CertificateExpirationDate 10/19/2025
FacilityType Waiver

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