05D1089038 CLIA NUMBER - YU CARE MEDICAL GROUP, INC DBA CARE ONE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D1089038

Facility Name: YU CARE MEDICAL GROUP, INC DBA CARE ONE MEDICAL CENTER

Facility Address:
1722 S DESIRE AVE STE 102
ROWLAND HEIGHTS, CA
ZIP 91748
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Facility Phone Number: 626 581-0700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235317561

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 05D1089038
LAB Type Physician Office
Facility Name YU CARE MEDICAL GROUP, INC DBA CARE ONE MEDICAL CENTER
Street 1722 S DESIRE AVE STE 102
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 581-0700
CertificateType 4
CertificateEffectiveDate 9/9/2022
CertificateExpirationDate 9/8/2024
FacilityType Waiver

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