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

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Laboratory Demographics

CLIA Number: 05D2041888

Facility Name: CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Facility Address:
1860 HAMNER AVE
NORCO, CA
ZIP 92860
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Facility Phone Number: 951 479-0070

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1033488416

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	5/31/2022
CertificateExpirationDate	5/30/2024
FacilityType	Waiver

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