05D2133531 CLIA NUMBER - LOMA LINDA OPTOMETRY INC

Laboratory Demographics

  • CLIA Code: 05D2133531
  • Facility Name: LOMA LINDA OPTOMETRY INC
  • Facility Address: 25815 BARTON RD STE C104
    LOMA LINDA, CA
    ZIP 92354
  • Facility Phone: 909 478-3345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS SODERBLOM, OD
  • NPI Number: 1811236490
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2133531
LAB Type Physician Office
Facility Name LOMA LINDA OPTOMETRY INC
Street 25815 BARTON RD STE C104
City LOMA LINDA
State CA
ZIP 92354
Phone 909 478-3345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DOUGLAS SODERBLOM, OD

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