05D2000108 CLIA NUMBER - MONTAGE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2000108
  • Facility Name: MONTAGE MEDICAL GROUP
  • Facility Address: 275 THE CROSSROADS STE A
    CARMEL, CA
    ZIP 93923
  • Facility Phone: 831 781-9701
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID STRAFACE MD
  • NPI Number: 1770710709
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2000108
LAB Type Physician Office
Facility Name MONTAGE MEDICAL GROUP
Street 275 THE CROSSROADS STE A
City CARMEL
State CA
ZIP 93923
Phone 831 781-9701
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 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director DAVID STRAFACE MD

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