05D1060440 CLIA NUMBER - CAREFIRST MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D1060440

Facility Name: CAREFIRST MEDICAL GROUP INC

Facility Address:
3550 EAST PHILADELPHIA ST STE 150
ONTARIO, CA
ZIP 91761
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Facility Phone Number: 909 773-0022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548356884

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	05D1060440
LAB Type	Physician Office
Facility Name	CAREFIRST MEDICAL GROUP INC
Street	3550 EAST PHILADELPHIA ST STE 150
City	ONTARIO
State	CA
ZIP	91761
Phone	909 773-0022
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

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