05D0871568 CLIA NUMBER - GENENTOX LABORATORIES, LLC

Laboratory Demographics

  • CLIA Code: 05D0871568
  • Facility Name: GENENTOX LABORATORIES, LLC
  • Facility Address: 2001 E FIRST ST, STE 109
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 833 668-2522
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BISMA SIDDIQI
  • NPI Number: 1538686597
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0871568
LAB Type Independent
Facility Name GENENTOX LABORATORIES, LLC
Street 2001 E FIRST ST, STE 109
City SANTA ANA
State CA
ZIP 92705
Phone 833 668-2522
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Independent
Lab Director DR. BISMA SIDDIQI

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