05D0999596 CLIA NUMBER - OCEAN COMMUNITY CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0999596
  • Facility Name: OCEAN COMMUNITY CARE CENTER
  • Facility Address: 1448 18TH ST
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 586-7607
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARINA KOUALEVSKY MD
  • NPI Number: 1043351885
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0999596
LAB Type Other
Facility Name OCEAN COMMUNITY CARE CENTER
Street 1448 18TH ST
City SANTA MONICA
State CA
ZIP 90404
Phone 310 586-7607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Other
Lab Director MARINA KOUALEVSKY MD

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