05D2197096 CLIA NUMBER - JDMD CLINICS, APC

Laboratory Demographics

  • CLIA Code: 05D2197096
  • Facility Name: JDMD CLINICS, APC
  • Facility Address: 3333 CONCOURS STREET SUITE 4200
    ONTARIO, CA
    ZIP 91764
  • Facility Phone: 909 287-7230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN DIMOWO
  • NPI Number: 1124640776
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2197096
LAB Type Physician Office
Facility Name JDMD CLINICS, APC
Street 3333 CONCOURS STREET SUITE 4200
City ONTARIO
State CA
ZIP 91764
Phone 909 287-7230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director JOHN DIMOWO

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