05D2276714 CLIA NUMBER - CALIFORNIA DIAGNOSTICS LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 05D2276714
  • Facility Name: CALIFORNIA DIAGNOSTICS LABORATORY LLC
  • Facility Address: 23232 PERALTA DR, STE 217
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 951 403-3424
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GULZAR AHMAD
  • NPI Number: 1134936313
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2276714
LAB Type Independent
Facility Name CALIFORNIA DIAGNOSTICS LABORATORY LLC
Street 23232 PERALTA DR, STE 217
City LAGUNA HILLS
State CA
ZIP 92653
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 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Independent
Lab Director GULZAR AHMAD

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