05D0546595 CLIA NUMBER - STEFAN A UNTERHALTER, MD

Laboratory Demographics

  • CLIA Code: 05D0546595
  • Facility Name: STEFAN A UNTERHALTER, MD
  • Facility Address: 9001 WILSHIRE BLVD STE #201
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 274-2722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEFAN UNTERHALTER MD
  • NPI Number: 1619023249
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0546595
LAB Type Physician Office
Facility Name STEFAN A UNTERHALTER, MD
Street 9001 WILSHIRE BLVD STE #201
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 274-2722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director STEFAN UNTERHALTER MD

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