05D2295013 CLIA NUMBER - AMATA LLC

Laboratory Demographics

  • CLIA Code: 05D2295013
  • Facility Name: AMATA LLC
  • Facility Address: 222 WEST 6TH STREET
    CORONA, CA
    ZIP 92882
  • Facility Phone: 909 379-9237
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JISUENG DAVID YOON
  • NPI Number: 1164143020
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295013
LAB Type Comp. Outpatient Rehab Facility
Facility Name AMATA LLC
Street 222 WEST 6TH STREET
City CORONA
State CA
ZIP 92882
Phone 909 379-9237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director JISUENG DAVID YOON

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