05D0681215 CLIA NUMBER - UCLA UROLOGY ASSOCIATES OF SANTA MONICA

Laboratory Demographics

  • CLIA Code: 05D0681215
  • Facility Name: UCLA UROLOGY ASSOCIATES OF SANTA MONICA
  • Facility Address: 1260 15TH ST, STE 1200
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 301-8658
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JESSE MILLS
  • NPI Number: 1285692822
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0681215
LAB Type Physician Office
Facility Name UCLA UROLOGY ASSOCIATES OF SANTA MONICA
Street 1260 15TH ST, STE 1200
City SANTA MONICA
State CA
ZIP 90404
Phone 310 301-8658
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 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director JESSE MILLS

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