05D2287828 CLIA NUMBER - CHINO STONE & SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2287828
  • Facility Name: CHINO STONE & SURGERY CENTER
  • Facility Address: 12611 9TH STREET, SUITE D
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 902-0009
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID G. SONG
  • NPI Number: 1053096040
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2287828
LAB Type Ambulatory Surgery Center
Facility Name CHINO STONE & SURGERY CENTER
Street 12611 9TH STREET, SUITE D
City CHINO
State CA
ZIP 91710
Phone 909 902-0009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID G. SONG

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