05D2111385 CLIA NUMBER - FOUR TECH LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 05D2111385
  • Facility Name: FOUR TECH LABORATORY LLC
  • Facility Address: 5132 N PECK RD
    EL MONTE, CA
    ZIP 91732
  • Facility Phone: 626 401-2583
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARIO A. KOHAN
  • NPI Number: 1972967933
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2111385
LAB Type Independent
Facility Name FOUR TECH LABORATORY LLC
Street 5132 N PECK RD
City EL MONTE
State CA
ZIP 91732
Phone 626 401-2583
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 12/15/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director MARIO A. KOHAN

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