05D2232585 CLIA NUMBER - SPECTRUM MOLECULAR DIAGNOSTICS LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2232585
  • Facility Name: SPECTRUM MOLECULAR DIAGNOSTICS LABORATORY
  • Facility Address: 30151-B AVENIDA DE LAS BANDERAS
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Facility Phone: 949 264-6102
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. THOMAS J. COOPER
  • NPI Number: 1932874492
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2232585
LAB Type Independent
Facility Name SPECTRUM MOLECULAR DIAGNOSTICS LABORATORY
Street 30151-B AVENIDA DE LAS BANDERAS
City RANCHO SANTA MARGARITA
State CA
ZIP 92688
Phone 949 264-6102
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 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Independent
Lab Director DR. THOMAS J. COOPER

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