05D0866141 CLIA NUMBER - M/S SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D0866141
  • Facility Name: M/S SURGERY CENTER, LLC
  • Facility Address: 3510 MARTIN LUTHER KING JR BLVD
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 638-9391
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HANNA F. SHAMMAS, MD
  • NPI Number: 1831109875
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0866141
LAB Type Ambulatory Surgery Center
Facility Name M/S SURGERY CENTER, LLC
Street 3510 MARTIN LUTHER KING JR BLVD
City LYNWOOD
State CA
ZIP 90262
Phone 310 638-9391
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 HANNA F. SHAMMAS, MD

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