05D2066277 CLIA NUMBER - GLORIA HA P.CHUNG

Home > CLIA Lookup > 05D2066277

Laboratory Demographics

CLIA Number: 05D2066277

Facility Name: GLORIA HA P.CHUNG

Facility Address:
1101 E HOLT AVE STE G
POMONA, CA
ZIP 91767
Get Directions

Facility Phone Number: 909 632-0895

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134362205

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D2066277
LAB Type	Physician Office
Facility Name	GLORIA HA P.CHUNG
Street	1101 E HOLT AVE STE G
City	POMONA
State	CA
ZIP	91767
Phone	909 632-0895
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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