05D0549077 CLIA NUMBER - MARINA DEL REY HOSPITAL

Laboratory Demographics

CLIA Number: 05D0549077

Facility Name: MARINA DEL REY HOSPITAL

Facility Address:
4650 LINCOLN BLVD
MARINA DEL REY, CA
ZIP 90292
Get Directions

Facility Phone Number: 310 482-6240

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1336254358

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D0549077
LAB Type	Hospital
Facility Name	MARINA DEL REY HOSPITAL
Street	4650 LINCOLN BLVD
City	MARINA DEL REY
State	CA
ZIP	90292
Phone	310 482-6240
CertificateType	1
CertificateEffectiveDate	8/11/2023
CertificateExpirationDate	8/10/2025
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024