05D1105451 CLIA NUMBER - LINDA GERRITS MD

Laboratory Demographics

  • CLIA Code: 05D1105451
  • Facility Name: LINDA GERRITS MD
  • Facility Address: 1220 LA VENTA DR #207
    WESTLAKE VILLAGE, CA
    ZIP 91361
  • Facility Phone: 805 494-7710
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LINDA GERRITS, MD
  • NPI Number: 1598875072
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1105451
LAB Type Physician Office
Facility Name LINDA GERRITS MD
Street 1220 LA VENTA DR #207
City WESTLAKE VILLAGE
State CA
ZIP 91361
Phone 805 494-7710
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/23/2023
Certificate Expiration Date 9/22/2025
Facility Type Physician Office
Lab Director LINDA GERRITS, MD

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This page was last updated on: 6/4/2025