05D2149935 CLIA NUMBER - INLAND PHYSICIANS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2149935
  • Facility Name: INLAND PHYSICIANS MEDICAL GROUP
  • Facility Address: 9525 MONTE VISTA AVE STE 105
    MONTCLAIR, CA
    ZIP 91763
  • Facility Phone: 909 626-1205
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATIF QADEER
  • NPI Number: 1669064366
  • Taxonomy: 207RP1001X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2149935
LAB Type Physician Office
Facility Name INLAND PHYSICIANS MEDICAL GROUP
Street 9525 MONTE VISTA AVE STE 105
City MONTCLAIR
State CA
ZIP 91763
Phone 909 626-1205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director ATIF QADEER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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