CLIA Laboratory Demographic Information Report

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CLIA Number: 05D1042002
Certificate / Application Type Name and Address / CLIA Number Telephone # Certificate Expiration Date Lab Testing Performed In
Compliance
D A M L
4524 SAN PEDRO PL

LOS ANGELES, CA 90011

#05D1042002
(323) 231-6000 8/15/2021 Physician Office