05D2313528 CLIA NUMBER - MEDCORP LAB INC

Laboratory Demographics

  • CLIA Code: 05D2313528
  • Facility Name: MEDCORP LAB INC
  • Facility Address: 8361 E MAGNOLIA BLVD UNIT REAR B
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 619-0898
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ROSAURA A. WILLIAMS
  • NPI Number: 1881418523
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2313528
LAB Type Independent
Facility Name MEDCORP LAB INC
Street 8361 E MAGNOLIA BLVD UNIT REAR B
City BURBANK
State CA
ZIP 91502
Phone 818 619-0898
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Independent
Lab Director ROSAURA A. WILLIAMS

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