05D2048683 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D2048683
  • Facility Name: CARELON HEALTH
  • Facility Address: 141 W FOOTHILL BLVD, STE B
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 296-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KONDURI VINAYA
  • NPI Number: 1467825901
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2048683
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 141 W FOOTHILL BLVD, STE B
City UPLAND
State CA
ZIP 91786
Phone 909 296-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director KONDURI VINAYA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025