05D0970408 CLIA NUMBER - RALPH A MASSEY MD INC

Laboratory Demographics

  • CLIA Code: 05D0970408
  • Facility Name: RALPH A MASSEY MD INC
  • Facility Address: 1260 15TH ST STE 1401
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 434-2495
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RALPH A. MASSEY
  • NPI Number: 1891700332
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0970408
LAB Type Physician Office
Facility Name RALPH A MASSEY MD INC
Street 1260 15TH ST STE 1401
City SANTA MONICA
State CA
ZIP 90404
Phone 310 434-2495
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 8/30/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director RALPH A. MASSEY

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