05D2162785 CLIA NUMBER - INLAND EMPIRE WOMAN'S CENTER, MEDICAL ASSOCIATE

Laboratory Demographics

  • CLIA Code: 05D2162785
  • Facility Name: INLAND EMPIRE WOMAN'S CENTER, MEDICAL ASSOCIATE
  • Facility Address: 16465 SIERRA LAKES PARKWAY, #245
    FONTANA, CA
    ZIP 92336
  • Facility Phone: 909 565-4129
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOE MAWAD
  • NPI Number: 1932909488
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2162785
LAB Type Physician Office
Facility Name INLAND EMPIRE WOMAN'S CENTER, MEDICAL ASSOCIATE
Street 16465 SIERRA LAKES PARKWAY, #245
City FONTANA
State CA
ZIP 92336
Phone 909 565-4129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director JOE MAWAD

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