05D2207606 CLIA NUMBER - MAGIC OWL LABORATORIES, INC

Laboratory Demographics

  • CLIA Code: 05D2207606
  • Facility Name: MAGIC OWL LABORATORIES, INC
  • Facility Address: 513 E LIME AVE, UNIT 202
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 215 715-0114
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ERNA DADASYAN
  • NPI Number: 1144810284
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2207606
LAB Type Independent
Facility Name MAGIC OWL LABORATORIES, INC
Street 513 E LIME AVE, UNIT 202
City MONROVIA
State CA
ZIP 91016
Phone 215 715-0114
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 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Independent
Lab Director ERNA DADASYAN

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