CLIA lab
CLIA 05D1034974: Brent J Michael, MD Inc
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1034974 belongs to Brent J Michael, MD Inc in Santa Monica, CA.
Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 2004
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1034974
- Lab name
- Brent J Michael, MD Inc
- Address
- 2001 Santa Monica Blvd, Ste 470W, Santa Monica, CA 90404
- Phone
- (310) 829-7777
- Fax
- (310) 829-9951
Annual test volume the lab reported
- Waived tests
- 720
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Santa Monica, CA
- 1508 Arizona Gi and Pain ManagementCertificate of Waiver, Ambulatory surgery center05D2286221
- Advanced Therapy Surgery Center, IncCertificate of Waiver, Ambulatory surgery center05D2097839
- Aesthetic Surgical Center of Santa MonicaCertificate of Waiver, Ambulatory surgery center05D1016890
- Al Santa Monica Senior Housing LPCertificate of Waiver, Assisted living facility05D2228589
- Alex J Messina MDCertificate of Waiver, Physician office05D0903446
- Amin Khorsandi MD IncCertificate of Waiver, Physician office05D2190149
- Angeles Clinic & ResearchCertificate of Compliance, Independent05D0907443
- Asbw, LLC DBA Berkley West Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880547
- Ava T Shamban MD IncCertificate of Compliance, Physician office05D0864862
- Beachwood Post Acute & RehabCertificate of Waiver, Skilled nursing or nursing facility05D2295975
Related
Questions
What is the CLIA number for Brent J Michael, MD Inc in Santa Monica?
05D1034974, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brent J Michael, MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1034974 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.