05D2117988 CLIA NUMBER - INTEGRATIVE URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2117988
  • Facility Name: INTEGRATIVE URGENT CARE
  • Facility Address: 148 N GRAND AVE
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 626 710-8877
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ERIC BROWN
  • NPI Number: 1235684960
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2117988
LAB Type Other - URGENT CARE
Facility Name INTEGRATIVE URGENT CARE
Street 148 N GRAND AVE
City GLENDORA
State CA
ZIP 91741
Phone 626 710-8877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Other - URGENT CARE
Lab Director ERIC BROWN

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