05D2120308 CLIA NUMBER - JONATHAN OU, MD

Laboratory Demographics

  • CLIA Code: 05D2120308
  • Facility Name: JONATHAN OU, MD
  • Facility Address: 5562 PHILADELPHIA ST STE 311
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 465-6342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN OU, MD
  • NPI Number: 1235175936
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2120308
LAB Type Physician Office
Facility Name JONATHAN OU, MD
Street 5562 PHILADELPHIA ST STE 311
City CHINO
State CA
ZIP 91710
Phone 909 465-6342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director JONATHAN OU, MD

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