05D2068632 CLIA NUMBER - GENEX LABORATORY PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2068632
  • Facility Name: GENEX LABORATORY PROFESSIONAL CORPORATION
  • Facility Address: 3151 AIRWAY AVE, STE M1
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 949 610-7253
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM W. TEMPLE
  • NPI Number: 1801226543
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2068632
LAB Type Independent
Facility Name GENEX LABORATORY PROFESSIONAL CORPORATION
Street 3151 AIRWAY AVE, STE M1
City COSTA MESA
State CA
ZIP 92626
Phone 949 610-7253
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 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Independent
Lab Director DR. WILLIAM W. TEMPLE

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