05D2098056 CLIA NUMBER - PETER J CORNELL MD INC

Laboratory Demographics

  • CLIA Code: 05D2098056
  • Facility Name: PETER J CORNELL MD INC
  • Facility Address: 450 N BEDFORD DR STE 101
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 274-9205
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER J. CORNELL
  • NPI Number: 1548370794
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2098056
LAB Type Physician Office
Facility Name PETER J CORNELL MD INC
Street 450 N BEDFORD DR STE 101
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 274-9205
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 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director PETER J. CORNELL

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