Healther Providers Data Logo

05D2057214 CLIA NUMBER - LIBERTY LABORATORY LLC

Laboratory Demographics

CLIA Number: 05D2057214

Facility Name: LIBERTY LABORATORY LLC

Facility Address:
10760 WARNER AVE STE 201
FOUNTAIN VALLEY, CA
ZIP 92708
Get Directions

Facility Phone Number: 714 593-5356

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1689056855

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 05D2057214
LAB Type Physician Office
Facility Name LIBERTY LABORATORY LLC
Street 10760 WARNER AVE STE 201
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 593-5356
CertificateType 2
CertificateEffectiveDate 10/4/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024