05D2113978 CLIA NUMBER - UNICARE COMMUNITY HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 05D2113978

Facility Name: UNICARE COMMUNITY HEALTH CENTER INC

Facility Address:
16127 FOOTHILL BLVD
FONTANA, CA
ZIP 92335
Get Directions

Facility Phone Number: 909 347-0700

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1174984041

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2113978
LAB Type	Federally Qualified Health Center
Facility Name	UNICARE COMMUNITY HEALTH CENTER INC
Street	16127 FOOTHILL BLVD
City	FONTANA
State	CA
ZIP	92335
Phone	909 347-0700
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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