05D0550065 CLIA NUMBER - WILLIAM A PULLEN MD

Laboratory Demographics

  • CLIA Code: 05D0550065
  • Facility Name: WILLIAM A PULLEN MD
  • Facility Address: 1301 20TH ST, STE 550
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 315-0231
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WILLIAM A. PULLEN
  • NPI Number: 1104977248
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0550065
LAB Type Physician Office
Facility Name WILLIAM A PULLEN MD
Street 1301 20TH ST, STE 550
City SANTA MONICA
State CA
ZIP 90404
Phone 310 315-0231
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 5/30/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director WILLIAM A. PULLEN

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