05D2304201 CLIA NUMBER - MOUNTAIN RIGHT TO LIFE, INC

Laboratory Demographics

  • CLIA Code: 05D2304201
  • Facility Name: MOUNTAIN RIGHT TO LIFE, INC
  • Facility Address: 114 E AIRPORT DR, STE 104
    SAN BERNARDINO, CA
    ZIP 92408
  • Facility Phone: 909 382-4550
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DALE R. BROOME
  • NPI Number: 1366699852
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 05D2304201
LAB Type Community Clinic
Facility Name MOUNTAIN RIGHT TO LIFE, INC
Street 114 E AIRPORT DR, STE 104
City SAN BERNARDINO
State CA
ZIP 92408
Phone 909 382-4550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Community Clinic
Lab Director DALE R. BROOME

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