05D0876039 CLIA NUMBER - PEPPERDINE UNIVERSITY STUDENT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0876039
  • Facility Name: PEPPERDINE UNIVERSITY STUDENT HEALTH CENTER
  • Facility Address: 24255 PCH, OSA BUILDING STUDENT HEALTH CENTER
    MALIBU, CA
    ZIP 90263
  • Facility Phone: 310 506-4316
  • Facility Type: Other - UNIVERSITY STUDENT HEALTH
  • Facility Type: Waiver
  • Lab Director: DR. LUCY K. LARSON
  • NPI Number: 1043867971
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0876039
LAB Type Other - UNIVERSITY STUDENT HEALTH
Facility Name PEPPERDINE UNIVERSITY STUDENT HEALTH CENTER
Street 24255 PCH, OSA BUILDING STUDENT HEALTH CENTER
City MALIBU
State CA
ZIP 90263
Phone 310 506-4316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Other - UNIVERSITY STUDENT HEALTH
Lab Director DR. LUCY K. LARSON

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