05D2242712 CLIA NUMBER - NEW CREATION

Laboratory Demographics

  • CLIA Code: 05D2242712
  • Facility Name: NEW CREATION
  • Facility Address: 3826 EAST GUASTI ROAD SUITE 100
    ONTARIO, CA
    ZIP 91761
  • Facility Phone: 909 479-3836
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. VALDEZ
  • NPI Number: 1497132765
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2242712
LAB Type Comp. Outpatient Rehab Facility
Facility Name NEW CREATION
Street 3826 EAST GUASTI ROAD SUITE 100
City ONTARIO
State CA
ZIP 91761
Phone 909 479-3836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director MICHAEL S. VALDEZ

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