05D2133703 CLIA NUMBER - ROMEO SAMOUH MD INC

Laboratory Demographics

  • CLIA Code: 05D2133703
  • Facility Name: ROMEO SAMOUH MD INC
  • Facility Address: 811 E 11TH ST STE 102
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 360-8737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROMEO J. SAMOUH MD
  • NPI Number: 1316225436
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2133703
LAB Type Physician Office
Facility Name ROMEO SAMOUH MD INC
Street 811 E 11TH ST STE 102
City UPLAND
State CA
ZIP 91786
Phone 909 360-8737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director ROMEO J. SAMOUH MD

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