05D2154057 CLIA NUMBER - HAVEN ELITE URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2154057
  • Facility Name: HAVEN ELITE URGENT CARE
  • Facility Address: 6417 HAVEN AVENUE SUITE 110
    RANCHO CUCAMONGA, CA
    ZIP 91737
  • Facility Phone: 909 816-4426
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: YI ZHANG
  • NPI Number: 1619473154
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2154057
LAB Type Other - URGENT CARE
Facility Name HAVEN ELITE URGENT CARE
Street 6417 HAVEN AVENUE SUITE 110
City RANCHO CUCAMONGA
State CA
ZIP 91737
Phone 909 816-4426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Other - URGENT CARE
Lab Director YI ZHANG

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