05D2301257 CLIA NUMBER - PRN DIAGNOSTIC LABORATORY INC

Laboratory Demographics

  • CLIA Code: 05D2301257
  • Facility Name: PRN DIAGNOSTIC LABORATORY INC
  • Facility Address: 4503 ALGER ST
    LOS ANGELES, CA
    ZIP 90039
  • Facility Phone: 323 221-9165
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: GAZAL F. ALSAATI
  • NPI Number: 1518714377
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2301257
LAB Type Independent
Facility Name PRN DIAGNOSTIC LABORATORY INC
Street 4503 ALGER ST
City LOS ANGELES
State CA
ZIP 90039
Phone 323 221-9165
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 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Independent
Lab Director GAZAL F. ALSAATI

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