05D0889914 CLIA NUMBER - MALCOLM KE, MD A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0889914
  • Facility Name: MALCOLM KE, MD A PROFESSIONAL CORPORATION
  • Facility Address: 828 MANHATTAN BEACH BLVD
    MANHATTAN BEACH, CA
    ZIP 90266
  • Facility Phone: 310 545-2900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MALCOLM KE
  • NPI Number: 1932186582
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0889914
LAB Type Physician Office
Facility Name MALCOLM KE, MD A PROFESSIONAL CORPORATION
Street 828 MANHATTAN BEACH BLVD
City MANHATTAN BEACH
State CA
ZIP 90266
Phone 310 545-2900
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 12/20/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MALCOLM KE

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