05D2270766 CLIA NUMBER - BNL HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2270766
  • Facility Name: BNL HEALTH INC
  • Facility Address: 2080 CENTURY PARK EAST #805
    LOS ANGELES, CA
    ZIP 90067
  • Facility Phone: 310 277-9534
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA COOK
  • NPI Number: 1346560661
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2270766
LAB Type Physician Office
Facility Name BNL HEALTH INC
Street 2080 CENTURY PARK EAST #805
City LOS ANGELES
State CA
ZIP 90067
Phone 310 277-9534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director LISA COOK

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