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05D2286529 CLIA NUMBER - PHENOPATH LABORATORIES, PLLC

Laboratory Demographics

CLIA Number: 05D2286529

Facility Name: PHENOPATH LABORATORIES, PLLC

Facility Address:
30766 BELLE MAISON
LAGUNA NIGUEL, CA
ZIP 92677
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Facility Phone Number: 760 331-7035

Facility Type: Independent

Certificate Type: Certificate of Compliance
NPI Number: 1386326049

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 05D2286529
LAB Type Independent
Facility Name PHENOPATH LABORATORIES, PLLC
Street 30766 BELLE MAISON
City LAGUNA NIGUEL
State CA
ZIP 92677
Phone 760 331-7035
CertificateType 2
CertificateEffectiveDate 7/31/2023
CertificateExpirationDate 7/30/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024