05D2041888 CLIA NUMBER - CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2041888
  • Facility Name: CENTRAL CITY COMMUNITY HEALTH CENTER, INC
  • Facility Address: 1860 HAMNER AVE
    NORCO, CA
    ZIP 92860
  • Facility Phone: 951 479-0070
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: HUNG DINH DOAN
  • NPI Number: 1033488416
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2041888
LAB Type Federally Qualified Health Center
Facility Name CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Street 1860 HAMNER AVE
City NORCO
State CA
ZIP 92860
Phone 951 479-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Federally Qualified Health Center
Lab Director HUNG DINH DOAN

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This page was last updated on: 3/20/2025