05D0931028 CLIA NUMBER - PACIFIC OCEAN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0931028
  • Facility Name: PACIFIC OCEAN PEDIATRICS
  • Facility Address: 2216 SANTA MONICA BLVD, #204
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 264-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. HAMILTON
  • NPI Number: 1184759599
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0931028
LAB Type Physician Office
Facility Name PACIFIC OCEAN PEDIATRICS
Street 2216 SANTA MONICA BLVD, #204
City SANTA MONICA
State CA
ZIP 90404
Phone 310 264-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2023
Certificate Expiration Date 7/20/2025
Facility Type Physician Office
Lab Director ROBERT C. HAMILTON

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: 6/4/2025