05D2226087 CLIA NUMBER - ANNA MELLOR, M.D.

Laboratory Demographics

  • CLIA Code: 05D2226087
  • Facility Name: ANNA MELLOR, M.D.
  • Facility Address: 602 DEEP VALLEY DRIVE SUITE 314
    ROLLING HILLS ESTATES, CA
    ZIP 90274
  • Facility Phone: 310 645-1024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA B. MELLOR
  • NPI Number: 1316998776
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2226087
LAB Type Physician Office
Facility Name ANNA MELLOR, M.D.
Street 602 DEEP VALLEY DRIVE SUITE 314
City ROLLING HILLS ESTATES
State CA
ZIP 90274
Phone 310 645-1024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director ANNA B. MELLOR

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