05D2318939 CLIA NUMBER - DONLAN MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2318939
  • Facility Name: DONLAN MEDICAL CORP
  • Facility Address: 145 N ROBERTSON BLVD
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 424 317-9391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN G. DONLAN
  • NPI Number: 1801628425
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2318939
LAB Type Physician Office
Facility Name DONLAN MEDICAL CORP
Street 145 N ROBERTSON BLVD
City BEVERLY HILLS
State CA
ZIP 90211
Phone 424 317-9391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director JUSTIN G. DONLAN

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