05D2205961 CLIA NUMBER - MOUNTAIN VIEW URGENT CARE GROUP INC CASA COLINA

Laboratory Demographics

  • CLIA Code: 05D2205961
  • Facility Name: MOUNTAIN VIEW URGENT CARE GROUP INC CASA COLINA
  • Facility Address: 255 E BONITA AVENUE SUITE 101
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 643-2980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN J. PARKES MD
  • NPI Number: 1801233036
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2205961
LAB Type Physician Office
Facility Name MOUNTAIN VIEW URGENT CARE GROUP INC CASA COLINA
Street 255 E BONITA AVENUE SUITE 101
City POMONA
State CA
ZIP 91767
Phone 909 643-2980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director KEVIN J. PARKES MD

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