05D1032217 CLIA NUMBER - QUYNH L SEBASTIAN MD INC

Laboratory Demographics

  • CLIA Code: 05D1032217
  • Facility Name: QUYNH L SEBASTIAN MD INC
  • Facility Address: 1260 15TH ST STE 709
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 917-4433
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: QUYNH L. SEBASTIAN MD
  • NPI Number: 1467540229
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1032217
LAB Type Physician Office
Facility Name QUYNH L SEBASTIAN MD INC
Street 1260 15TH ST STE 709
City SANTA MONICA
State CA
ZIP 90404
Phone 310 917-4433
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 8/9/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director QUYNH L. SEBASTIAN MD

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