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05D2211750 CLIA NUMBER - PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS

Laboratory Demographics

CLIA Number: 05D2211750

Facility Name: PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS

Facility Address:
160 E ARTESIA ST SUITE 255
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 596-4346

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1407304439

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 05D2211750
LAB Type Independent
Facility Name PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS
Street 160 E ARTESIA ST SUITE 255
City POMONA
State CA
ZIP 91767
Phone 909 596-4346
CertificateType 4
CertificateEffectiveDate 1/29/2023
CertificateExpirationDate 1/28/2025
FacilityType Waiver

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