05D1052300 CLIA NUMBER - JENNIFER SUN MD INC

Laboratory Demographics

  • CLIA Code: 05D1052300
  • Facility Name: JENNIFER SUN MD INC
  • Facility Address: 689 W FOOTHILL BLVD STE B
    CLAREMONT, CA
    ZIP 91711
  • Facility Phone: 909 482-2058
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER C. SUN
  • NPI Number: 1558352583
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1052300
LAB Type Physician Office
Facility Name JENNIFER SUN MD INC
Street 689 W FOOTHILL BLVD STE B
City CLAREMONT
State CA
ZIP 91711
Phone 909 482-2058
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director JENNIFER C. SUN

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