05D2318025 CLIA NUMBER - MISSION CITY COMMUNITY NETWORK - CORONA CLINIC

Laboratory Demographics

  • CLIA Code: 05D2318025
  • Facility Name: MISSION CITY COMMUNITY NETWORK - CORONA CLINIC
  • Facility Address: 613 S HOWARD ST
    CORONA, CA
    ZIP 92879
  • Facility Phone: 818 895-3100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN CHARD
  • NPI Number: 1942694096
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2318025
LAB Type Community Clinic
Facility Name MISSION CITY COMMUNITY NETWORK - CORONA CLINIC
Street 613 S HOWARD ST
City CORONA
State CA
ZIP 92879
Phone 818 895-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Community Clinic
Lab Director JOHN CHARD

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