05D2234621 CLIA NUMBER - ALTA DIAGNOSTIC LABORATORIES, INC

Laboratory Demographics

  • CLIA Code: 05D2234621
  • Facility Name: ALTA DIAGNOSTIC LABORATORIES, INC
  • Facility Address: 2268 LINCOLN AVE
    ALTADENA, CA
    ZIP 91001
  • Facility Phone: 818 529-5181
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: NANCY BARR
  • NPI Number: 1063180354
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2234621
LAB Type Independent
Facility Name ALTA DIAGNOSTIC LABORATORIES, INC
Street 2268 LINCOLN AVE
City ALTADENA
State CA
ZIP 91001
Phone 818 529-5181
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 2/3/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director NANCY BARR

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