05D2057555 CLIA NUMBER - Paul W Willis Do Inc

Laboratory Demographics

CLIA Number: 05D2057555

Facility Name: Paul W Willis Do Inc

Facility Address:
1305 W Arrow Highway Ste 106
San Dimas, CA
ZIP 91773
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Facility Phone Number: (909) 971-0100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2057555
LAB Type PHYSICIAN OFFICE
Facility Name Paul W Willis Do Inc
Street 1305 W Arrow Highway Ste 106
City San Dimas
State CA
ZIP 91773
Phone 9099710100

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This page was last updated on: 12/21/2017