05D0689585 CLIA NUMBER - MARY LEE AMERIAN MD

Laboratory Demographics

  • CLIA Code: 05D0689585
  • Facility Name: MARY LEE AMERIAN MD
  • Facility Address: 2336 SANTA MONICA BLVD, STE 209
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 829-9396
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARY LEE AMERIAN MD
  • NPI Number: 1972597607
  • Taxonomy: 207NS0135X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0689585
LAB Type Physician Office
Facility Name MARY LEE AMERIAN MD
Street 2336 SANTA MONICA BLVD, STE 209
City SANTA MONICA
State CA
ZIP 90404
Phone 310 829-9396
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 5/12/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MARY LEE AMERIAN MD

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