05D2310032 CLIA NUMBER - SAN ANTONIO URGENT CARE AT ONTARIO

Laboratory Demographics

  • CLIA Code: 05D2310032
  • Facility Name: SAN ANTONIO URGENT CARE AT ONTARIO
  • Facility Address: 970 N MOUNTAIN AVE
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 638-1381
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KEVIN PARKES
  • NPI Number: 1669513529
  • Taxonomy: 3336H0001X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2310032
LAB Type Other - URGENT CARE
Facility Name SAN ANTONIO URGENT CARE AT ONTARIO
Street 970 N MOUNTAIN AVE
City ONTARIO
State CA
ZIP 91762
Phone 909 638-1381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Other - URGENT CARE
Lab Director KEVIN PARKES

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