05D0561503 CLIA NUMBER - PACIFIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0561503
  • Facility Name: PACIFIC SURGERY CENTER
  • Facility Address: 2829 W BURBANK BLVD
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 567-0348
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ALAN M. BERG
  • NPI Number: 1497788277
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0561503
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC SURGERY CENTER
Street 2829 W BURBANK BLVD
City BURBANK
State CA
ZIP 91505
Phone 818 567-0348
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 DR. ALAN M. BERG

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