05D0965493 CLIA NUMBER - UNITED DIAGNOSTICS LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 05D0965493
  • Facility Name: UNITED DIAGNOSTICS LABORATORY LLC
  • Facility Address: 4200 LATHAM ST, STE C1
    RIVERSIDE, CA
    ZIP 92501
  • Facility Phone: 951 403-3424
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: FAN ZHOU
  • NPI Number: 1669644514
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0965493
LAB Type Independent
Facility Name UNITED DIAGNOSTICS LABORATORY LLC
Street 4200 LATHAM ST, STE C1
City RIVERSIDE
State CA
ZIP 92501
Phone 951 403-3424
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 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Independent
Lab Director FAN ZHOU

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