05D1047196 CLIA NUMBER - SAAD PEDIATRIC MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1047196
  • Facility Name: SAAD PEDIATRIC MEDICAL GROUP
  • Facility Address: 630 N 13TH AVE, SUITE E
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 946-6676
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANTOUNE SAAD, MD
  • NPI Number: 1386810158
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1047196
LAB Type Hospice
Facility Name SAAD PEDIATRIC MEDICAL GROUP
Street 630 N 13TH AVE, SUITE E
City UPLAND
State CA
ZIP 91786
Phone 909 946-6676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Hospice
Lab Director ANTOUNE SAAD, MD

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