PERSONALIZED PEDIATRIC LABORATORIES LLC
NPI 1194416628
Clinical Medical Laboratory in Santa Monica, CA

Active since May 16, 2023CLIA 05D2281427 · Accreditation
1744 BERKELEY ST, SANTA MONICA, CA 90404(725) 240-0608(888) 356-3518 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Personalized Pediatric Laboratories Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONALIZED PEDIATRIC LABORATORIES LLC (NPI 1194416628) is a healthcare organization registered as a clinical medical laboratory in Santa Monica, California and active in the NPI registry since May 2023. The organization holds an CLIA Accreditation certificate valid through December 4, 2027 and lists Michelle Manalo, Laboratory Supervisor, as its authorized official.

NPPES Registry Identity

NPI1194416628
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePERSONALIZED PEDIATRIC LABORATORIES LLC
Location Address1744 BERKELEY STSanta Monica, CA 90404-4105
Mailing Address1744 Berkeley StSanta Monica, CA 90404-4105 · (725) 240-0608 · Fax (888) 356-3518
Fax(888) 356-3518
Organization SubpartNo
Authorized OfficialMichelle ManaloLaboratory Supervisor · (619) 253-2923
Enumeration DateMay 16, 2023
Last NPPES UpdateMay 18, 2023
NPPES CertifiedMay 18, 2023
NPI 1194416628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1744 BERKELEY ST, Santa Monica, CA 90404

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2281427

Personalized Pediatric Laboratories · Santa Monica, CA
Active · expires Dec 4, 2027
CLIA Number05D2281427
Laboratory TypeIndependent
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorDr. Jiegen Jiang
Laboratory Phone(725) 240-0608
Laboratory LocationPersonalized Pediatric Laboratories1744 Berkeley St, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personalized Pediatric Laboratories LLC's NPI number?

The NPI number for Personalized Pediatric Laboratories LLC is 1194416628. It was assigned to this organization in the NPPES registry on May 16, 2023.

Where is Personalized Pediatric Laboratories LLC located?

Personalized Pediatric Laboratories LLC is located at 1744 Berkeley St, Santa Monica, CA 90404. The listed phone number is (725) 240-0608.

What is Personalized Pediatric Laboratories LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Personalized Pediatric Laboratories LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2281427) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Personalized Pediatric Laboratories LLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.