05D2225336 CLIA NUMBER - LBP CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 05D2225336
  • Facility Name: LBP CLINICAL SERVICES
  • Facility Address: 49281 GRAPEFRUIT BLVD STE 2
    COACHELLA, CA
    ZIP 92236
  • Facility Phone: 760 296-3468
  • Facility Type: Other - GROUP CLINIC
  • Facility Type: Waiver
  • Lab Director: LAURA E. PURDY
  • NPI Number: 1154914190
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2225336
LAB Type Other - GROUP CLINIC
Facility Name LBP CLINICAL SERVICES
Street 49281 GRAPEFRUIT BLVD STE 2
City COACHELLA
State CA
ZIP 92236
Phone 760 296-3468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Other - GROUP CLINIC
Lab Director LAURA E. PURDY

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