05D2062640 CLIA NUMBER - TRISTAN BICKMAN, MD

Laboratory Demographics

  • CLIA Code: 05D2062640
  • Facility Name: TRISTAN BICKMAN, MD
  • Facility Address: 1304 15TH ST STE 100
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 587-9280
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. TRISTAN E. BICKMAN
  • NPI Number: 1245253210
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2062640
LAB Type Independent
Facility Name TRISTAN BICKMAN, MD
Street 1304 15TH ST STE 100
City SANTA MONICA
State CA
ZIP 90404
Phone 310 587-9280
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Independent
Lab Director DR. TRISTAN E. BICKMAN

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