05D0957566 CLIA NUMBER - UCLA CPN PACIFIC PALISADES

Laboratory Demographics

CLIA Number: 05D0957566

Facility Name: UCLA CPN PACIFIC PALISADES

Facility Address:
881 ALMA REAL DR, STE 214
PACIFIC PALISADES, CA
ZIP 90272
Get Directions

Facility Phone Number: 310 459-2363

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1811376452

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0957566
LAB Type	Physician Office
Facility Name	UCLA CPN PACIFIC PALISADES
Street	881 ALMA REAL DR, STE 214
City	PACIFIC PALISADES
State	CA
ZIP	90272
Phone	310 459-2363
CertificateType	3
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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