05D2294354 CLIA NUMBER - LANCASTER URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2294354
  • Facility Name: LANCASTER URGENT CARE
  • Facility Address: 1331 W AVE J SUITE 101
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 899-5522
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LATHA MADHAVAN
  • NPI Number: 1114709037
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2294354
LAB Type Other - URGENT CARE
Facility Name LANCASTER URGENT CARE
Street 1331 W AVE J SUITE 101
City LANCASTER
State CA
ZIP 93534
Phone 661 899-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Other - URGENT CARE
Lab Director LATHA MADHAVAN

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