05D2304772 CLIA NUMBER - BRENTWOOD INC

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Field Name	Field Value
CLIA Number	05D2304772
LAB Type	Other - ICF/DD-N
Facility Name	BRENTWOOD INC
Street	1767 W BRENTWOOD PL
City	ANAHEIM
State	CA
ZIP	92804
Phone	714 491-2840
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/17/2024
Certificate Expiration Date	5/16/2026
Facility Type	Other - ICF/DD-N
Lab Director	NISHCHAL KUMAR

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