05D2042345 CLIA NUMBER - HEALTH DIAGNOSTICS OF CALIFORNIA, PC

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Laboratory Demographics

CLIA Number: 05D2042345

Facility Name: HEALTH DIAGNOSTICS OF CALIFORNIA, PC

Facility Address:
225 HOSPITALITY LANE SUITE 100
SAN BERNARDINO, CA
ZIP 92408
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Facility Phone Number: 909 890-5856

Facility Type: Other - OUTPATIENT MEDICAL IMAGIN

Certificate Type: Waiver

NPI Number: 1225669351

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	05D2042345
LAB Type	Other - OUTPATIENT MEDICAL IMAGIN
Facility Name	HEALTH DIAGNOSTICS OF CALIFORNIA, PC
Street	225 HOSPITALITY LANE SUITE 100
City	SAN BERNARDINO
State	CA
ZIP	92408
Phone	909 890-5856
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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