05D2180704 CLIA NUMBER - POMONA URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2180704
  • Facility Name: POMONA URGENT CARE
  • Facility Address: 1749 N GAREY AVE
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 729-5079
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERASTO GUTIERREZ
  • NPI Number: 1790324481
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2180704
LAB Type Physician Office
Facility Name POMONA URGENT CARE
Street 1749 N GAREY AVE
City POMONA
State CA
ZIP 91767
Phone 909 729-5079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director ERASTO GUTIERREZ

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