05D0642471 CLIA NUMBER - IMMUNOSCIENCES LAB INC

Laboratory Demographics

  • CLIA Code: 05D0642471
  • Facility Name: IMMUNOSCIENCES LAB INC
  • Facility Address: 822 S ROBERTSON BLVD STE 312
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 310 657-1077
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. GOPAL KRISHNAN
  • NPI Number: 1881033587
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0642471
LAB Type Independent
Facility Name IMMUNOSCIENCES LAB INC
Street 822 S ROBERTSON BLVD STE 312
City LOS ANGELES
State CA
ZIP 90035
Phone 310 657-1077
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Independent
Lab Director DR. GOPAL KRISHNAN

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