05D2109012 CLIA NUMBER - BEAR VALLEY URGENT CARE

Laboratory Demographics

CLIA Number: 05D2109012

Facility Name: BEAR VALLEY URGENT CARE

Facility Address:
12186 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
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Facility Phone Number: 760 381-8848

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871943035

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2109012
LAB Type	Physician Office
Facility Name	BEAR VALLEY URGENT CARE
Street	12186 HESPERIA RD
City	VICTORVILLE
State	CA
ZIP	92395
Phone	760 381-8848
CertificateType	4
CertificateEffectiveDate	2/17/2024
CertificateExpirationDate	2/16/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024