05D2314106 CLIA NUMBER - NICOLE M TYLER MD, INC

Laboratory Demographics

  • CLIA Code: 05D2314106
  • Facility Name: NICOLE M TYLER MD, INC
  • Facility Address: 99 LA CIENEGA BLVD, STE 303
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 304-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE M. TYLER
  • NPI Number: 1457420077
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2314106
LAB Type Physician Office
Facility Name NICOLE M TYLER MD, INC
Street 99 LA CIENEGA BLVD, STE 303
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 304-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director NICOLE M. TYLER

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This page was last updated on: 3/20/2025