05D2089456 CLIA NUMBER - UNICARE COMMUNITY HEALTH CENTER, INC

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Laboratory Demographics

CLIA Number: 05D2089456

Facility Name: UNICARE COMMUNITY HEALTH CENTER, INC

Facility Address:
1501 E HOLT AVE STE A
POMONA, CA
ZIP 91767
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Facility Phone Number: (909) 623-3600

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1356763155

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2089456
LAB Type	COMMUNITY CLINIC
Facility Name	UNICARE COMMUNITY HEALTH CENTER, INC
Street	1501 E HOLT AVE STE A
City	POMONA
State	CA
ZIP	91767
Phone	(909) 623-3600

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