05D0969546 CLIA NUMBER - MICHAEL ZELMAN MD

Laboratory Demographics

  • CLIA Code: 05D0969546
  • Facility Name: MICHAEL ZELMAN MD
  • Facility Address: 2222 SANTA MONICA BLVD STE 205
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 449-1007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL ZELMAN MD
  • NPI Number: 1790732964
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0969546
LAB Type Physician Office
Facility Name MICHAEL ZELMAN MD
Street 2222 SANTA MONICA BLVD STE 205
City SANTA MONICA
State CA
ZIP 90404
Phone 310 449-1007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director MICHAEL ZELMAN MD

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