05D2100064 CLIA NUMBER - UNITED LAB SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2100064
  • Facility Name: UNITED LAB SERVICES INC
  • Facility Address: 3811 BEDFORD CANYON RD, STE 104
    CORONA, CA
    ZIP 92883
  • Facility Phone: 951 444-0467
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JULIAN ALFARO
  • NPI Number: 1528564002
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2100064
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UNITED LAB SERVICES INC
Street 3811 BEDFORD CANYON RD, STE 104
City CORONA
State CA
ZIP 92883
Phone 951 444-0467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JULIAN ALFARO

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