05D2305652 CLIA NUMBER - PRO ANGELS INC

Laboratory Demographics

  • CLIA Code: 05D2305652
  • Facility Name: PRO ANGELS INC
  • Facility Address: 401 S MAIN ST SUITE 103
    POMONA, CA
    ZIP 91766
  • Facility Phone: 909 707-6158
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KHAI QUANG TRAN
  • NPI Number: 1508419029
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2305652
LAB Type Hospice
Facility Name PRO ANGELS INC
Street 401 S MAIN ST SUITE 103
City POMONA
State CA
ZIP 91766
Phone 909 707-6158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Hospice
Lab Director KHAI QUANG TRAN

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