05D2274695 CLIA NUMBER - CAL MED VASCULAR ASC, LLC

Laboratory Demographics

  • CLIA Code: 05D2274695
  • Facility Name: CAL MED VASCULAR ASC, LLC
  • Facility Address: 1281 WC ST SUITE #350
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 679-2710
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMUEL I. SCHWARTZ
  • NPI Number: 1255826038
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2274695
LAB Type Ambulatory Surgery Center
Facility Name CAL MED VASCULAR ASC, LLC
Street 1281 WC ST SUITE #350
City COLTON
State CA
ZIP 92324
Phone 909 679-2710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Ambulatory Surgery Center
Lab Director SAMUEL I. SCHWARTZ

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