05D2313341 CLIA NUMBER - S&S MEDICAL GROUP DBA SANTO ANTONIO URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2313341
  • Facility Name: S&S MEDICAL GROUP DBA SANTO ANTONIO URGENT CARE
  • Facility Address: 1030 S MOUNT VERNON AVE STE 200
    COLTON, CA
    ZIP 92324
  • Facility Phone: 951 444-8444
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL SEDRAK
  • NPI Number: 1811754690
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2313341
LAB Type Practitioner Other
Facility Name S&S MEDICAL GROUP DBA SANTO ANTONIO URGENT CARE
Street 1030 S MOUNT VERNON AVE STE 200
City COLTON
State CA
ZIP 92324
Phone 951 444-8444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Practitioner Other
Lab Director MICHAEL SEDRAK

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