05D2085182 CLIA NUMBER - DR TAYLOR BLADH

Laboratory Demographics

  • CLIA Code: 05D2085182
  • Facility Name: DR TAYLOR BLADH
  • Facility Address: 718 N DIAMOND BAR BLVD
    DIAMOND BAR, CA
    ZIP 91765
  • Facility Phone: 909 861-3737
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TAYLOR W. BLADH
  • NPI Number: 1700951217
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2085182
LAB Type Practitioner Other
Facility Name DR TAYLOR BLADH
Street 718 N DIAMOND BAR BLVD
City DIAMOND BAR
State CA
ZIP 91765
Phone 909 861-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Practitioner Other
Lab Director TAYLOR W. BLADH

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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