05D2300338 CLIA NUMBER - MARTHA HIERRO, MD INC

Laboratory Demographics

  • CLIA Code: 05D2300338
  • Facility Name: MARTHA HIERRO, MD INC
  • Facility Address: 2021 SANTA MONICA BLVD #335E
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 471-9917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA HIERRO
  • NPI Number: 1770562431
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2300338
LAB Type Physician Office
Facility Name MARTHA HIERRO, MD INC
Street 2021 SANTA MONICA BLVD #335E
City SANTA MONICA
State CA
ZIP 90404
Phone 310 471-9917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director MARTHA HIERRO

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