05D1089179 CLIA NUMBER - USBORNE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 05D1089179

Facility Name: USBORNE FAMILY MEDICINE

Facility Address:
256 W SAN BERNARDINO RD
COVINA, CA
ZIP 91723
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Facility Phone Number: 626 938-1080

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568743169

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	05D1089179
LAB Type	Physician Office
Facility Name	USBORNE FAMILY MEDICINE
Street	256 W SAN BERNARDINO RD
City	COVINA
State	CA
ZIP	91723
Phone	626 938-1080
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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