05D2202982 CLIA NUMBER - BRIGHTSTAR CARE OF RANCHO CUCAMONGA

Laboratory Demographics

  • CLIA Code: 05D2202982
  • Facility Name: BRIGHTSTAR CARE OF RANCHO CUCAMONGA
  • Facility Address: 9587 ARROW RTE, STE D
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 291-9090
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CRYSTAL M. CHIN
  • NPI Number: 1427442953
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2202982
LAB Type Home Health Agency
Facility Name BRIGHTSTAR CARE OF RANCHO CUCAMONGA
Street 9587 ARROW RTE, STE D
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 291-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Home Health Agency
Lab Director CRYSTAL M. CHIN

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