21D2158103 CLIA NUMBER - PHI LIFE SCIENCES

Laboratory Demographics

  • CLIA Code: 21D2158103
  • Facility Name: PHI LIFE SCIENCES
  • Facility Address: 4701 MELBOURNE PLACE SUITE A2
    COLLEGE PARK, MD
    ZIP 20740
  • Facility Phone: 503 752-3553
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ERIC W. JOHNSON
  • NPI Number: 1437605615
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2158103
LAB Type Independent
Facility Name PHI LIFE SCIENCES
Street 4701 MELBOURNE PLACE SUITE A2
City COLLEGE PARK
State MD
ZIP 20740
Phone 503 752-3553
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 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director ERIC W. JOHNSON

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