05D2097816 CLIA NUMBER - PACIFIC PERINATAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2097816
  • Facility Name: PACIFIC PERINATAL INSTITUTE
  • Facility Address: 400 N PEPPER AVE
    COLTON, CA
    ZIP 92324
  • Facility Phone: (909) 580-3470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTINA ROLOFF, DO
  • NPI Number: 1942692777
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2097816
LAB Type Physician Office
Facility Name PACIFIC PERINATAL INSTITUTE
Street 400 N PEPPER AVE
City COLTON
State CA
ZIP 92324
Phone 9095803470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director KRISTINA ROLOFF, DO

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This page was last updated on: 5/18/2026