05D0865789 CLIA NUMBER - ROBERTSON CLINICAL LABORATORY

Laboratory Demographics

CLIA Number: 05D0865789

Facility Name: ROBERTSON CLINICAL LABORATORY

Facility Address:
150 N ROBERTSON BLVD, STE 115
BEVERLY HILLS, CA
ZIP 90211
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Facility Phone Number: 310 239-7104

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1174113997

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0865789
LAB Type	Independent
Facility Name	ROBERTSON CLINICAL LABORATORY
Street	150 N ROBERTSON BLVD, STE 115
City	BEVERLY HILLS
State	CA
ZIP	90211
Phone	310 239-7104
CertificateType	1
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024