05D2072929 CLIA NUMBER - MACER MEDICAL

Laboratory Demographics

  • CLIA Code: 05D2072929
  • Facility Name: MACER MEDICAL
  • Facility Address: 550 DEEP VALLEY DR STE 287
    ROLLING HILLS ESTATES, CA
    ZIP 90274
  • Facility Phone: 310 541-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE A. KUIDA
  • NPI Number: 1114295417
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2072929
LAB Type Physician Office
Facility Name MACER MEDICAL
Street 550 DEEP VALLEY DR STE 287
City ROLLING HILLS ESTATES
State CA
ZIP 90274
Phone 310 541-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director CHRISTINE A. KUIDA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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