05D1099954 CLIA NUMBER - MERIDIAN URGENT CARE AND OCCUPATIONAL

Laboratory Demographics

CLIA Number: 05D1099954

Facility Name: MERIDIAN URGENT CARE AND OCCUPATIONAL

Facility Address:
12821 MAIN ST, STE 140
HESPERIA, CA
ZIP 92345
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Facility Phone Number: 760 242-7707

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1922289099

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1099954
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MERIDIAN URGENT CARE AND OCCUPATIONAL
Street	12821 MAIN ST, STE 140
City	HESPERIA
State	CA
ZIP	92345
Phone	760 242-7707
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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