05D0722200 CLIA NUMBER - MICHAEL R BLOCK MD

Laboratory Demographics

  • CLIA Code: 05D0722200
  • Facility Name: MICHAEL R BLOCK MD
  • Facility Address: 970 MONUMENT ST STE 210
    PACIFIC PALISADES, CA
    ZIP 90272
  • Facility Phone: 310 459-4321
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL R. BLOCK
  • NPI Number: 1134203656
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0722200
LAB Type Physician Office
Facility Name MICHAEL R BLOCK MD
Street 970 MONUMENT ST STE 210
City PACIFIC PALISADES
State CA
ZIP 90272
Phone 310 459-4321
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL R. BLOCK

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