Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D1081875
|
|
Clinical laboratory number
|
|
Lab Name
|
LUIS ENRIQUE FUNDORA
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
626-794-8133
|
|
Laboratory telephone number
|
|
Fax
|
626-794-9163
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
745 E ALTADENA DR
|
|
Primary location adress line
|
|
City
|
ALTADENA
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
91001
|
|
Primary location postal code
|