05D2222530 CLIA NUMBER - SERACOLLECTION RESEARCH SERVICES LLC

Laboratory Demographics

CLIA Number: 05D2222530

Facility Name: SERACOLLECTION RESEARCH SERVICES LLC

Facility Address:
3317 WEST BEVERLY BLVD SUITE 200
MONTEBELLO, CA
ZIP 90640
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Facility Phone Number: 323 621-6700

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1093471112

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2222530
LAB Type	Independent
Facility Name	SERACOLLECTION RESEARCH SERVICES LLC
Street	3317 WEST BEVERLY BLVD SUITE 200
City	MONTEBELLO
State	CA
ZIP	90640
Phone	323 621-6700
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024