05D0547277 CLIA NUMBER - CULVER CITY SURGICAL SPECIALISTS, INC

Laboratory Demographics

  • CLIA Code: 05D0547277
  • Facility Name: CULVER CITY SURGICAL SPECIALISTS, INC
  • Facility Address: 3831 HUGHES AVE SUITE 702
    CULVER CITY, CA
    ZIP 90232
  • Facility Phone: 310 837-3834
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL L. BRODY
  • NPI Number: 1013499730
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0547277
LAB Type Ambulatory Surgery Center
Facility Name CULVER CITY SURGICAL SPECIALISTS, INC
Street 3831 HUGHES AVE SUITE 702
City CULVER CITY
State CA
ZIP 90232
Phone 310 837-3834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL L. BRODY

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This page was last updated on: 9/29/2025