05D2197767 CLIA NUMBER - SOLLIS HEALTH LA, PC

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Laboratory Demographics

CLIA Number: 05D2197767

Facility Name: SOLLIS HEALTH LA, PC

Facility Address:
155 N SAN VINCENTE BLVD 1ST FL
BEVERLY HILLS, CA
ZIP 90211
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Facility Phone Number: 310 870-0400

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1013531607

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2197767
LAB Type	Physician Office
Facility Name	SOLLIS HEALTH LA, PC
Street	155 N SAN VINCENTE BLVD 1ST FL
City	BEVERLY HILLS
State	CA
ZIP	90211
Phone	310 870-0400
CertificateType	2
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024