05D2292660 CLIA NUMBER - BIODIAGNOSTICS LABORATORIES INC

Laboratory Demographics

  • CLIA Code: 05D2292660
  • Facility Name: BIODIAGNOSTICS LABORATORIES INC
  • Facility Address: 6117 BROCKTON SUITE 104F
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 301 620-6563
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: STACY PUN
  • NPI Number: 1659127900
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2292660
LAB Type Independent
Facility Name BIODIAGNOSTICS LABORATORIES INC
Street 6117 BROCKTON SUITE 104F
City RIVERSIDE
State CA
ZIP 92506
Phone 301 620-6563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Independent
Lab Director STACY PUN

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