CLIA lab
CLIA 05D2306658: Kelly Bickle MD, Inc
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2306658 belongs to Kelly Bickle MD, Inc in Santa Monica, CA.
Certificate of Compliance, effective November 27, 2024, expires November 26, 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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- November 27, 2024
- Certificate expiration
- November 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 21, 2024
- Facility type
- Physician office
- 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
- 05D2306658
- Lab name
- Kelly Bickle MD, Inc
- Address
- 2001 Wilshire Blvd Ste 305, Santa Monica, CA 90403
- Phone
- (310) 998-7230
- Fax
- (310) 870-8679
Annual test volume the lab reported
- Other nonwaived tests
- 350
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 Kelly Bickle MD, Inc in Santa Monica?
05D2306658, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly Bickle MD, Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2306658 expire?
The CMS file lists November 26, 2026 as the certificate expiration date; the certificate took effect November 27, 2024.