05D2111917 CLIA NUMBER - GENOMIC TESTING COOPERATIVE

Laboratory Demographics

  • CLIA Code: 05D2111917
  • Facility Name: GENOMIC TESTING COOPERATIVE
  • Facility Address: 25371 COMMERCENTRE DR
    LAKE FOREST, CA
    ZIP 92630
  • Facility Phone: 949 540-9421
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MAHER ALBITAR
  • NPI Number: 1346713989
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2111917
LAB Type Independent
Facility Name GENOMIC TESTING COOPERATIVE
Street 25371 COMMERCENTRE DR
City LAKE FOREST
State CA
ZIP 92630
Phone 949 540-9421
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 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Independent
Lab Director DR. MAHER ALBITAR

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