05D2182166 CLIA NUMBER - UNICARE COMMUNITY HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 05D2182166

Facility Name: UNICARE COMMUNITY HEALTH CENTER INC

Facility Address:
123 WEST E STREET
ONTARIO, CA
ZIP 91762
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Facility Phone Number: 909 988-2555

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1447604582

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2182166
LAB Type	Federally Qualified Health Center
Facility Name	UNICARE COMMUNITY HEALTH CENTER INC
Street	123 WEST E STREET
City	ONTARIO
State	CA
ZIP	91762
Phone	909 988-2555
CertificateType	4
CertificateEffectiveDate	4/16/2024
CertificateExpirationDate	4/15/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024