05D2259211 CLIA NUMBER - LUBNA ISHO DO INC

Laboratory Demographics

  • CLIA Code: 05D2259211
  • Facility Name: LUBNA ISHO DO INC
  • Facility Address: 250 W BONITA AVE SUITE 150
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 392-4747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUBNA ISHO
  • NPI Number: 1851350797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2259211
LAB Type Physician Office
Facility Name LUBNA ISHO DO INC
Street 250 W BONITA AVE SUITE 150
City POMONA
State CA
ZIP 91767
Phone 909 392-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director LUBNA ISHO

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