05D1079889 CLIA NUMBER - SCOTT M LEEDS MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1079889
  • Facility Name: SCOTT M LEEDS MD A MEDICAL CORPORATION
  • Facility Address: 9400 BRIGHTEN WAY STE 305
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 777-0159
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT M. LEEDS MD
  • NPI Number: 1598738734
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1079889
LAB Type Physician Office
Facility Name SCOTT M LEEDS MD A MEDICAL CORPORATION
Street 9400 BRIGHTEN WAY STE 305
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 777-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director SCOTT M. LEEDS MD

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