05D0943144 CLIA NUMBER - MALIBU MEDICAL

Laboratory Demographics

  • CLIA Code: 05D0943144
  • Facility Name: MALIBU MEDICAL
  • Facility Address: 23661 PACIFIC COAST HWY
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 456-1603
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA BENYA DO
  • NPI Number: 1386988590
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0943144
LAB Type Physician Office
Facility Name MALIBU MEDICAL
Street 23661 PACIFIC COAST HWY
City MALIBU
State CA
ZIP 90265
Phone 310 456-1603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director LISA BENYA DO

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