05D2003055 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA

Laboratory Demographics

  • CLIA Code: 05D2003055
  • Facility Name: LABORATORY CORPORATION OF AMERICA
  • Facility Address: 500 LENNON LANE
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 979-9028
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MAHUL B. AMIN
  • NPI Number: 1902233521
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2003055
LAB Type Independent
Facility Name LABORATORY CORPORATION OF AMERICA
Street 500 LENNON LANE
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 979-9028
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 8/25/2020
Certificate Expiration Date 6/30/2025
Facility Type Independent
Lab Director MAHUL B. AMIN

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This page was last updated on: 6/4/2025