05D0544616 CLIA NUMBER - EMMANUEL BRANDEIS MD

Laboratory Demographics

  • CLIA Code: 05D0544616
  • Facility Name: EMMANUEL BRANDEIS MD
  • Facility Address: 292 S LA CIENEGA # 100
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 855-7504
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EMMANUEL BRANDEIS
  • NPI Number: 1861521478
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0544616
LAB Type Physician Office
Facility Name EMMANUEL BRANDEIS MD
Street 292 S LA CIENEGA # 100
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 855-7504
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director EMMANUEL BRANDEIS

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