05D0550324 CLIA NUMBER - WESTSIDE INTERNAL MEDICINE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0550324
  • Facility Name: WESTSIDE INTERNAL MEDICINE LABORATORY
  • Facility Address: 2121 WILSHIRE BLVD, 3RD FL LAB
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 310 264-0762
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN ANDREWS
  • NPI Number: 1437609773
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0550324
LAB Type Physician Office
Facility Name WESTSIDE INTERNAL MEDICINE LABORATORY
Street 2121 WILSHIRE BLVD, 3RD FL LAB
City SANTA MONICA
State CA
ZIP 90403
Phone 310 264-0762
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 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JOHN ANDREWS

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