05D0547058 CLIA NUMBER - PROTZEL PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0547058
  • Facility Name: PROTZEL PATHOLOGY LABORATORY
  • Facility Address: 9735 WILSHIRE BLVD, STE 241
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 858-0874
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RICHARD M. PROTZEL
  • NPI Number: 1518006014
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0547058
LAB Type Independent
Facility Name PROTZEL PATHOLOGY LABORATORY
Street 9735 WILSHIRE BLVD, STE 241
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 858-0874
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/17/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director DR. RICHARD M. PROTZEL

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