05D2079957 CLIA NUMBER - UCLA HEALTH CENTER FOR EAST WEST MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2079957
  • Facility Name: UCLA HEALTH CENTER FOR EAST WEST MEDICINE
  • Facility Address: 2336 SANTA MONICA BLVD STE 301
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 301-8658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD HUI
  • NPI Number: 1245268267
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2079957
LAB Type Physician Office
Facility Name UCLA HEALTH CENTER FOR EAST WEST MEDICINE
Street 2336 SANTA MONICA BLVD STE 301
City SANTA MONICA
State CA
ZIP 90404
Phone 310 301-8658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director EDWARD HUI

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