05D2100353 CLIA NUMBER - SAN ANTONIO URGENT CARE AT RANCHO

Laboratory Demographics

  • CLIA Code: 05D2100353
  • Facility Name: SAN ANTONIO URGENT CARE AT RANCHO
  • Facility Address: 7777 MILLIKEN AVE
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 920-4856
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KEVIN PARKES
  • NPI Number: 1689622060
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2100353
LAB Type Community Clinic
Facility Name SAN ANTONIO URGENT CARE AT RANCHO
Street 7777 MILLIKEN AVE
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 920-4856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Community Clinic
Lab Director KEVIN PARKES

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This page was last updated on: 9/29/2025