05D1095212 CLIA NUMBER - PATRICIA A BROTMAN MD INC CORONA LAB

Laboratory Demographics

  • CLIA Code: 05D1095212
  • Facility Name: PATRICIA A BROTMAN MD INC CORONA LAB
  • Facility Address: 854 MAGNOLIA AVE STE 202
    CORONA, CA
    ZIP 92879
  • Facility Phone: 951 898-1118
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PATRICA A. BROTMAN MD
  • NPI Number: 1043634520
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 05D1095212
LAB Type Physician Office
Facility Name PATRICIA A BROTMAN MD INC CORONA LAB
Street 854 MAGNOLIA AVE STE 202
City CORONA
State CA
ZIP 92879
Phone 951 898-1118
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director PATRICA A. BROTMAN MD

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