05D2217339 CLIA NUMBER - BELLA LABORATORIES LLC

Laboratory Demographics

  • CLIA Code: 05D2217339
  • Facility Name: BELLA LABORATORIES LLC
  • Facility Address: 18007 SKY PARK CIRCLE, STE F
    IRVINE, CA
    ZIP 92614
  • Facility Phone: 844 352-3552
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. PHOUTTHASONE THIRAKUL
  • NPI Number: 1063187938
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2217339
LAB Type Independent
Facility Name BELLA LABORATORIES LLC
Street 18007 SKY PARK CIRCLE, STE F
City IRVINE
State CA
ZIP 92614
Phone 844 352-3552
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 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Independent
Lab Director DR. PHOUTTHASONE THIRAKUL

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