05D2173817 CLIA NUMBER - CHUANG T HUNG MD

Laboratory Demographics

  • CLIA Code: 05D2173817
  • Facility Name: CHUANG T HUNG MD
  • Facility Address: 629 N 13TH AVE
    UPLAND, CA
    ZIP 91785
  • Facility Phone: 909 985-2709
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ELLIE LEKOV
  • NPI Number: 1619049749
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2173817
LAB Type Physician Office
Facility Name CHUANG T HUNG MD
Street 629 N 13TH AVE
City UPLAND
State CA
ZIP 91785
Phone 909 985-2709
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. ELLIE LEKOV

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