05D2008436 CLIA NUMBER - FRANCISCO J CUELLAR, A PROFESSIONAL MEDICAL CORP

Laboratory Demographics

CLIA Number: 05D2008436

Facility Name: FRANCISCO J CUELLAR, A PROFESSIONAL MEDICAL CORP

Facility Address:
160 E ARTESIA ST STE 150
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 784-2490

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336102797

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 05D2008436
LAB Type Physician Office
Facility Name FRANCISCO J CUELLAR, A PROFESSIONAL MEDICAL CORP
Street 160 E ARTESIA ST STE 150
City POMONA
State CA
ZIP 91767
Phone 909 784-2490
CertificateType 4
CertificateEffectiveDate 6/10/2022
CertificateExpirationDate 6/9/2024
FacilityType Waiver

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