05D1087438 CLIA NUMBER - JEFFREY R UNGER UNGER PRIMARY CARE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D1087438
  • Facility Name: JEFFREY R UNGER UNGER PRIMARY CARE MEDICAL CENTER
  • Facility Address: 9220 HAVEN AVE STE 230
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 590-8409
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY R. UNGER MD
  • NPI Number: 1003856188
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1087438
LAB Type Physician Office
Facility Name JEFFREY R UNGER UNGER PRIMARY CARE MEDICAL CENTER
Street 9220 HAVEN AVE STE 230
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 590-8409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director JEFFREY R. UNGER MD

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