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Requesting a COVID-19 Test

Currently, East Valley is only testing East Valley patients
and those without insurance. Thank you!

Due to an increased demand for COVID-19 testing and to better serve our patients please complete the form below to request your COVID-19 test.

Debido a una mayor demanda de pruebas COVID-19 y para servir mejor a nuestros pacientes complete el siguiente formulario para requestar su prueba COVID-19.

Request a COVID-19 Test

Are you a Patient at East Valley Community Health Center? *

Yes

Do you currently have health insurance?

Yes

First Name / Nombre

Last Name / Apellido

Phone / Número de Teléfono

Email / Correo electrónico

Date of Birth

Currently, East Valley is only testing East Valley patients and those without insurance. For a list of other COVID-19 testing sites, please visit: https://covid19.lacounty.gov/testing/

How did you hear about us?

Mt. View School District

Pomona Unified School District

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An East Valley representative will contact you within 24 hours to schedule you for an appointment.

HEADQUARTERS
420 S. Glendora Avenue | West Covina, CA 91790
(626) 919-4333 | Fax (626) 919-2084

East Valley Community Health Center is a Nonprofit 501(c) (3) Federally Qualified Health Center (FQHC) with tax Id # 23-7068586.
©2006-2022 East Valley Community Health Center. All rights reserved.

PRIVACY POLICY

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Requesting a COVID-19 Test

Currently, East Valley is only testing East Valley patients and those without insurance. Thank you!

Debido a una mayor demanda de pruebas COVID-19 y para servir mejor a nuestros pacientes complete el siguiente formulario para requestar su prueba COVID-19.

Request a COVID-19 Test

Currently, East Valley is only testing East Valley patients
and those without insurance. Thank you!