05D2321402 CLIA NUMBER - DENNIS A CHUCK MD, INC

Laboratory Demographics

  • CLIA Code: 05D2321402
  • Facility Name: DENNIS A CHUCK MD, INC
  • Facility Address: 1774 ALAMEDA ST
    POMONA, CA
    ZIP 91768
  • Facility Phone: 909 622-1188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS A. CHUCK
  • NPI Number: 1033183413
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2321402
LAB Type Physician Office
Facility Name DENNIS A CHUCK MD, INC
Street 1774 ALAMEDA ST
City POMONA
State CA
ZIP 91768
Phone 909 622-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director DENNIS A. CHUCK

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