05D0550327 CLIA NUMBER - REBECCA DI MUNDO, MD INC

Laboratory Demographics

  • CLIA Code: 05D0550327
  • Facility Name: REBECCA DI MUNDO, MD INC
  • Facility Address: 2210 SANTA MONICA BLVD SUITE A
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 829-3525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA DI MUNDO
  • NPI Number: 1316050743
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0550327
LAB Type Physician Office
Facility Name REBECCA DI MUNDO, MD INC
Street 2210 SANTA MONICA BLVD SUITE A
City SANTA MONICA
State CA
ZIP 90404
Phone 310 829-3525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director REBECCA DI MUNDO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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