05D2080345 CLIA NUMBER - UPLAND MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 05D2080345

Facility Name: UPLAND MEDICAL CENTER

Facility Address:
360 E 7TH ST STE D
UPLAND, CA
ZIP 91786
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Facility Phone Number: 909 920-9193

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447700034

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2080345
LAB Type	Physician Office
Facility Name	UPLAND MEDICAL CENTER
Street	360 E 7TH ST STE D
City	UPLAND
State	CA
ZIP	91786
Phone	909 920-9193
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

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