05D2328933 CLIA NUMBER - WESTSIDE PEDIATRICS INC-MB

Laboratory Demographics

  • CLIA Code: 05D2328933
  • Facility Name: WESTSIDE PEDIATRICS INC-MB
  • Facility Address: 1200 ROSECRANS AVENUE, STE 202
    MANHATTAN BEACH, CA
    ZIP 90266
  • Facility Phone: (310) 979-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE KAGAN

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CLIA Record

Field Name Field Value
CLIA Number 05D2328933
LAB Type Physician Office
Facility Name WESTSIDE PEDIATRICS INC-MB
Street 1200 ROSECRANS AVENUE, STE 202
City MANHATTAN BEACH
State CA
ZIP 90266
Phone 3109797337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director LAWRENCE KAGAN

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This page was last updated on: 6/29/2026