05D2299395 CLIA NUMBER - MOLDX LABS INC

Laboratory Demographics

  • CLIA Code: 05D2299395
  • Facility Name: MOLDX LABS INC
  • Facility Address: 6450 BELLINGHAM AVE STE G
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 820 600-0006
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ISRAA LAKLOUK
  • NPI Number: 1306605795
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2299395
LAB Type Independent
Facility Name MOLDX LABS INC
Street 6450 BELLINGHAM AVE STE G
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 820 600-0006
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Independent
Lab Director ISRAA LAKLOUK

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