05D1086025 CLIA NUMBER - VITALANT

Laboratory Demographics

  • CLIA Code: 05D1086025
  • Facility Name: VITALANT
  • Facility Address: 10585 ARMSTRONG AVE
    MATHER, CA
    ZIP 95655
  • Facility Phone: 480 675-5434
  • Facility Type: Blood Bank
  • Facility Type: Accreditation
  • Lab Director: DR. CHRISTOPHER J. GRESENS
  • NPI Number: 1548489024
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D1086025
LAB Type Blood Bank
Facility Name VITALANT
Street 10585 ARMSTRONG AVE
City MATHER
State CA
ZIP 95655
Phone 480 675-5434
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 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Blood Bank
Lab Director DR. CHRISTOPHER J. GRESENS

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