05D2269157 CLIA NUMBER - UNITED DIAGNOSTICS LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 05D2269157
  • Facility Name: UNITED DIAGNOSTICS LABORATORY LLC
  • Facility Address: 4200 LATHAM ST STE C1
    RIVERSIDE, CA
    ZIP 92501
  • Facility Phone: 951 403-3424
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DILDAR AHMAD
  • NPI Number: 1477932689
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2269157
LAB Type Independent
Facility Name UNITED DIAGNOSTICS LABORATORY LLC
Street 4200 LATHAM ST STE C1
City RIVERSIDE
State CA
ZIP 92501
Phone 951 403-3424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Independent
Lab Director DILDAR AHMAD

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