05D2016689 CLIA NUMBER - COMMUNITY LABORATORY, INC

Laboratory Demographics

  • CLIA Code: 05D2016689
  • Facility Name: COMMUNITY LABORATORY, INC
  • Facility Address: 1919 W 7TH ST, UNIT L
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 282-3599
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: PEYMAN BANOONI MD
  • NPI Number: 1528619970
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2016689
LAB Type Independent
Facility Name COMMUNITY LABORATORY, INC
Street 1919 W 7TH ST, UNIT L
City LOS ANGELES
State CA
ZIP 90057
Phone 213 282-3599
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 10/31/2022
Certificate Expiration Date 3/31/2025
Facility Type Independent
Lab Director PEYMAN BANOONI MD

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This page was last updated on: 3/20/2025