05D2098791 CLIA NUMBER - TRINITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2098791
  • Facility Name: TRINITY MEDICAL CLINIC
  • Facility Address: 1749 S EUCLID AVE STE A
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: (909) 972-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. DE LA LLANA
  • NPI Number: 1750787842
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2098791
LAB Type Physician Office
Facility Name TRINITY MEDICAL CLINIC
Street 1749 S EUCLID AVE STE A
City ONTARIO
State CA
ZIP 91762
Phone 9099720300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director JOSE A. DE LA LLANA

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