05D2307665 CLIA NUMBER - SAC HEALTH SYSTEM BRIER

Laboratory Demographics

  • CLIA Code: 05D2307665
  • Facility Name: SAC HEALTH SYSTEM BRIER
  • Facility Address: 1003 EAST BRIER DR
    SAN BERNARDINO, CA
    ZIP 92408
  • Facility Phone: 909 382-7100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: BONNIE CHI-LUM
  • NPI Number: 1043984859
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2307665
LAB Type Federally Qualified Health Center
Facility Name SAC HEALTH SYSTEM BRIER
Street 1003 EAST BRIER DR
City SAN BERNARDINO
State CA
ZIP 92408
Phone 909 382-7100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Federally Qualified Health Center
Lab Director BONNIE CHI-LUM

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