05D2136047 CLIA NUMBER - ARROW OCCUPATIONAL MEDICINE CENTER

Laboratory Demographics

CLIA Number: 05D2136047

Facility Name: ARROW OCCUPATIONAL MEDICINE CENTER

Facility Address:
10837 LAUREL ST STE 206
RANCHO CUCAMONGA, CA
ZIP 91730
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Facility Phone Number: 909 226-4855

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659891844

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2136047
LAB Type	Physician Office
Facility Name	ARROW OCCUPATIONAL MEDICINE CENTER
Street	10837 LAUREL ST STE 206
City	RANCHO CUCAMONGA
State	CA
ZIP	91730
Phone	909 226-4855
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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