05D2025583 CLIA NUMBER - DAVID M STOLL, MD

Laboratory Demographics

  • CLIA Code: 05D2025583
  • Facility Name: DAVID M STOLL, MD
  • Facility Address: 2021 SANTA MONICA BLVD STE 300E
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 453-4071
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID STOLL, MD
  • NPI Number: 1417988775
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2025583
LAB Type Physician Office
Facility Name DAVID M STOLL, MD
Street 2021 SANTA MONICA BLVD STE 300E
City SANTA MONICA
State CA
ZIP 90404
Phone 310 453-4071
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director DAVID STOLL, MD

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