05D2296394 CLIA NUMBER - HIGHLAND AVENUE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2296394
  • Facility Name: HIGHLAND AVENUE COMMUNITY HEALTH CENTER
  • Facility Address: 754 EAST HIGHLAND AVE
    SAN BERNARDINO, CA
    ZIP 92404
  • Facility Phone: 909 577-0024
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DONALD A. UNDERWOOD
  • NPI Number: 1811353469
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296394
LAB Type Federally Qualified Health Center
Facility Name HIGHLAND AVENUE COMMUNITY HEALTH CENTER
Street 754 EAST HIGHLAND AVE
City SAN BERNARDINO
State CA
ZIP 92404
Phone 909 577-0024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Federally Qualified Health Center
Lab Director DONALD A. UNDERWOOD

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