05D1002957 CLIA NUMBER - MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB

Laboratory Demographics

  • CLIA Code: 05D1002957
  • Facility Name: MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB
  • Facility Address: 2336 SANTA MONICA BLVD STE 201
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 828-4461
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL BECKER MD
  • NPI Number: 1922033935
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1002957
LAB Type Physician Office
Facility Name MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB
Street 2336 SANTA MONICA BLVD STE 201
City SANTA MONICA
State CA
ZIP 90404
Phone 310 828-4461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director MITCHELL BECKER MD

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