05D0930143 CLIA NUMBER - BIOLOGICAL LABORATORY, INC

Laboratory Demographics

  • CLIA Code: 05D0930143
  • Facility Name: BIOLOGICAL LABORATORY, INC
  • Facility Address: 620 W COVINA BLVD
    SAN DIMAS, CA
    ZIP 91773
  • Facility Phone: 909 718-4592
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: RUBIO R. PUNZALAN MD PHD
  • NPI Number: 1700913118
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0930143
LAB Type Independent
Facility Name BIOLOGICAL LABORATORY, INC
Street 620 W COVINA BLVD
City SAN DIMAS
State CA
ZIP 91773
Phone 909 718-4592
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 8/8/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director RUBIO R. PUNZALAN MD PHD

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