05D1060774 CLIA NUMBER - CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE LABORATORY

Laboratory Demographics

CLIA Number: 05D1060774

Facility Name: CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE LABORATORY

Facility Address:
255 EAST BONITA AVE
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 596-7733

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1508018789

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1060774
LAB Type	Hospital
Facility Name	CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE LABORATORY
Street	255 EAST BONITA AVE
City	POMONA
State	CA
ZIP	91767
Phone	909 596-7733
CertificateType	1
CertificateEffectiveDate	5/15/2024
CertificateExpirationDate	5/14/2026
FacilityType	Accreditation

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