05D2326495 CLIA NUMBER - PSI HEALTH PARTNERS, PC DBA TRIP CLINIC

Laboratory Demographics

  • CLIA Code: 05D2326495
  • Facility Name: PSI HEALTH PARTNERS, PC DBA TRIP CLINIC
  • Facility Address: 1301 20TH STREET, SUITE 540
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 341-2882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH G. HEINZERLING
  • NPI Number: 1457144180
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2326495
LAB Type Physician Office
Facility Name PSI HEALTH PARTNERS, PC DBA TRIP CLINIC
Street 1301 20TH STREET, SUITE 540
City SANTA MONICA
State CA
ZIP 90404
Phone 310 341-2882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director KEITH G. HEINZERLING

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