05D0992253 CLIA NUMBER - MARK H HYMAN MD INC PHYSICIAN OFFICE

Laboratory Demographics

  • CLIA Code: 05D0992253
  • Facility Name: MARK H HYMAN MD INC PHYSICIAN OFFICE
  • Facility Address: 10780 SANTA MONICA BLVD STE 408
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 234-0400
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MARK HYMAN
  • NPI Number: 1598784365
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0992253
LAB Type Physician Office
Facility Name MARK H HYMAN MD INC PHYSICIAN OFFICE
Street 10780 SANTA MONICA BLVD STE 408
City LOS ANGELES
State CA
ZIP 90025
Phone 310 234-0400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director MARK HYMAN

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