CLIA lab
CLIA 05D0701542: Douglas Tyler, MD A Prof Med Corporation
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0701542 belongs to Douglas Tyler, MD A Prof Med Corporation in Santa Monica, CA.
Certificate of Waiver, effective June 28, 2025, expires June 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 28, 2025
- Certificate expiration
- June 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0701542
- Lab name
- Douglas Tyler, MD A Prof Med Corporation
- Address
- 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403
- Phone
- (310) 828-0733
- Fax
- (310) 828-0711
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Douglas Tyler, MD A Prof Med Corporation in Santa Monica?
05D0701542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Douglas Tyler, MD A Prof Med Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0701542 expire?
The CMS file lists June 27, 2027 as the certificate expiration date; the certificate took effect June 28, 2025.