05D2056981 CLIA NUMBER - AO FIRSTCARE

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Laboratory Demographics

CLIA Number: 05D2056981

Facility Name: AO FIRSTCARE

Facility Address:
8805 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA
ZIP 91730
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Facility Phone Number: (909) 912-1800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D2056981
LAB Type	PHYSICIAN OFFICE
Facility Name	AO FIRSTCARE
Street	8805 HAVEN AVE STE 100
City	RANCHO CUCAMONGA
State	CA
ZIP	91730
Phone	(909) 912-1800

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This page was last updated on: 5/11/2023