05D2098791 CLIA NUMBER - TRINITY MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 05D2098791

Facility Name: TRINITY MEDICAL CLINIC

Facility Address:
1749 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762
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Facility Phone Number: (909) 972-0300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1942793658

Taxonomy: 261QP2300X - Clinic/Center

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	(909) 972-0300

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