DYNASTY DIAGNOSTICS
NPI 1811874290
Clinical Medical Laboratory in Los Angeles, CA

Active since August 19, 2025CLIA 05D2326157 · Certificate of Compliance
1718 COLORADO BLVD UNIT A, LOS ANGELES, CA 90041(747) 758-9797 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dynasty Diagnostics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNASTY DIAGNOSTICS (NPI 1811874290) is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since August 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2027 and lists Ahsan Baseer, Technical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1811874290
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDYNASTY DIAGNOSTICS
Location Address1718 COLORADO BLVD UNIT ALos Angeles, CA 90041-1338
Mailing Address1718 Colorado Blvd Unit ALos Angeles, CA 90041-1338 · (747) 758-9797
Organization SubpartNo
Authorized OfficialAhsan BaseerTechnical Supervisor · (714) 493-1224
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 18, 2025
NPI 1811874290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1718 COLORADO BLVD UNIT A, Los Angeles, CA 90041

Other Names 1

Doing Business AsDynasty Diagnostics

Other Identifiers 1

Other05D2326157CA · Clia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2326157

Dynasty Diagnostics · Los Angeles, CA
Active · expires Jun 26, 2027
CLIA Number05D2326157
Laboratory TypeIndependent
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMary R. Hanna
Laboratory Phone(747) 758-9797
Laboratory LocationDynasty Diagnostics1718 Colorado Blvd Unit A, Los Angeles, CA 90041
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynasty Diagnostics's NPI number?

The NPI number for Dynasty Diagnostics is 1811874290. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Dynasty Diagnostics located?

Dynasty Diagnostics is located at 1718 Colorado Blvd Unit A, Los Angeles, CA 90041. The listed phone number is (747) 758-9797.

What is Dynasty Diagnostics's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Dynasty Diagnostics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2326157) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dynasty Diagnostics was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.