05D2311029 CLIA NUMBER - PERLMAN CLINIC

Laboratory Demographics

  • CLIA Code: 05D2311029
  • Facility Name: PERLMAN CLINIC
  • Facility Address: 4358 BONITA RD SUITE 400
    BONITA, CA
    ZIP 91902
  • Facility Phone: 858 554-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA PERLMAN
  • NPI Number: 1134309305
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2311029
LAB Type Physician Office
Facility Name PERLMAN CLINIC
Street 4358 BONITA RD SUITE 400
City BONITA
State CA
ZIP 91902
Phone 858 554-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director MONICA PERLMAN

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