05D1104161 CLIA NUMBER - MRH MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1104161
  • Facility Name: MRH MEDICAL GROUP INC
  • Facility Address: 8484 WILSHIRE BLVD #200
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 360-7690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HONZEL, MD
  • NPI Number: 1063617074
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1104161
LAB Type Physician Office
Facility Name MRH MEDICAL GROUP INC
Street 8484 WILSHIRE BLVD #200
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 360-7690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2023
Certificate Expiration Date 8/25/2025
Facility Type Physician Office
Lab Director MARK HONZEL, MD

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This page was last updated on: 3/20/2025