05D2196018 CLIA NUMBER - DAVID G SONG MD INC

Laboratory Demographics

  • CLIA Code: 05D2196018
  • Facility Name: DAVID G SONG MD INC
  • Facility Address: 5365 WALNUT AVE STE A
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 902-0009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID G. SONG
  • NPI Number: 1699115972
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2196018
LAB Type Physician Office
Facility Name DAVID G SONG MD INC
Street 5365 WALNUT AVE STE A
City CHINO
State CA
ZIP 91710
Phone 909 902-0009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director DAVID G. SONG

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