Organization
BIOLOGICAL LABORATORY, INC.
Active
Other names
Biolab
Organization subpart
No
Provider details
NPI number
Authorized official
EUFEMIA DAVID BSMT (CEO)
(909) 718-4592
Entity
Organization
Contact information
Practice address
620 W. COVINA BLVD, SAN DIMAS, CA 91773-2956
(909) 718-4592
(909) 469-6718
Mailing address
620 W. COVINA BLVD, SAN DIMAS, CA 91773-2956
(909) 718-4592
(909) 469-6718
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF11375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0930143
CLIA #
CA
05
—
LAB30143G
—
CA
Enumeration date
02/27/2007
Last updated
03/14/2025
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