05D2164819 CLIA NUMBER - PRIMER HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 05D2164819
  • Facility Name: PRIMER HEALTHCARE, INC
  • Facility Address: 24950 REDLANDS BLVD STE F
    LOMA LINDA, CA
    ZIP 92354
  • Facility Phone: 909 283-4033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHAN B. WILLIAMS
  • NPI Number: 1861902611
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2164819
LAB Type Physician Office
Facility Name PRIMER HEALTHCARE, INC
Street 24950 REDLANDS BLVD STE F
City LOMA LINDA
State CA
ZIP 92354
Phone 909 283-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director NATHAN B. WILLIAMS

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