05D0548356 CLIA NUMBER - JEFF HARRIS MD

Laboratory Demographics

  • CLIA Code: 05D0548356
  • Facility Name: JEFF HARRIS MD
  • Facility Address: 23805 STUART RANCH RD STE 210
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 456-1891
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFF HARRIS
  • NPI Number: 1437135340
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0548356
LAB Type Physician Office
Facility Name JEFF HARRIS MD
Street 23805 STUART RANCH RD STE 210
City MALIBU
State CA
ZIP 90265
Phone 310 456-1891
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JEFF HARRIS

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