05D0894012 CLIA NUMBER - NORTHRIDGE ADVANCED SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0894012
  • Facility Name: NORTHRIDGE ADVANCED SURGERY CENTER
  • Facility Address: 8331 RESEDA BOULEVARD
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 993-3428
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PARHAM AMINI
  • NPI Number: 1417971821
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0894012
LAB Type Ambulatory Surgery Center
Facility Name NORTHRIDGE ADVANCED SURGERY CENTER
Street 8331 RESEDA BOULEVARD
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 993-3428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Ambulatory Surgery Center
Lab Director PARHAM AMINI

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