05D2219115 CLIA NUMBER - NAPCC NURSE OFFICE

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Laboratory Demographics

CLIA Number: 05D2219115

Facility Name: NAPCC NURSE OFFICE

Facility Address:
1425 TOYOTA WAY
ONTARIO, CA
ZIP 91761
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Facility Phone Number: 909 975-7104

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588253017

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2219115
LAB Type	Physician Office
Facility Name	NAPCC NURSE OFFICE
Street	1425 TOYOTA WAY
City	ONTARIO
State	CA
ZIP	91761
Phone	909 975-7104
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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