05D2309431 CLIA NUMBER - SIMA CORPORATE GROUP

Laboratory Demographics

  • CLIA Code: 05D2309431
  • Facility Name: SIMA CORPORATE GROUP
  • Facility Address: 10700 JERSEY BLVD STE 300
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 999-7091
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JUSTIN MARASIGAN
  • NPI Number: 1730730805
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2309431
LAB Type Home Health Agency
Facility Name SIMA CORPORATE GROUP
Street 10700 JERSEY BLVD STE 300
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 999-7091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Home Health Agency
Lab Director JUSTIN MARASIGAN

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