05D2058150 CLIA NUMBER - IAM MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 05D2058150

Facility Name: IAM MEDICAL CLINIC

Facility Address:
5250 UNIVERSITY PKWY STE A
SAN BERNARDINO, CA
ZIP 92407
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Facility Phone Number: (909) 804-8283

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1659613693

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D2058150
LAB Type	PHYSICIAN OFFICE
Facility Name	IAM MEDICAL CLINIC
Street	5250 UNIVERSITY PKWY STE A
City	SAN BERNARDINO
State	CA
ZIP	92407
Phone	(909) 804-8283

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