05D2154286 CLIA NUMBER - TANYA KORMEILI MD

Laboratory Demographics

  • CLIA Code: 05D2154286
  • Facility Name: TANYA KORMEILI MD
  • Facility Address: 2811 WILSHIRE BLVD, STE 640
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 310 526-8301
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TANYA KORMEILI
  • NPI Number: 1245450766
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2154286
LAB Type Physician Office
Facility Name TANYA KORMEILI MD
Street 2811 WILSHIRE BLVD, STE 640
City SANTA MONICA
State CA
ZIP 90403
Phone 310 526-8301
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/28/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director TANYA KORMEILI

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