05D2269442 CLIA NUMBER - MILAGEN INC

Laboratory Demographics

  • CLIA Code: 05D2269442
  • Facility Name: MILAGEN INC
  • Facility Address: 1255 PARK AVE STE B
    EMERYVILLE, CA
    ZIP 94608
  • Facility Phone: 510 597-1244
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MIR H. NOORBAKHSH
  • NPI Number: 1306558044
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2269442
LAB Type Independent
Facility Name MILAGEN INC
Street 1255 PARK AVE STE B
City EMERYVILLE
State CA
ZIP 94608
Phone 510 597-1244
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Independent
Lab Director MIR H. NOORBAKHSH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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