05D0962340 CLIA NUMBER - COAST SURGERY CENTER LP

Laboratory Demographics

  • CLIA Code: 05D0962340
  • Facility Name: COAST SURGERY CENTER LP
  • Facility Address: 3445 PACIFIC COAST HIGHWAY STE 110
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 325-4555
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY C. THUE MD
  • NPI Number: 1275532889
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0962340
LAB Type Ambulatory Surgery Center
Facility Name COAST SURGERY CENTER LP
Street 3445 PACIFIC COAST HIGHWAY STE 110
City TORRANCE
State CA
ZIP 90505
Phone 310 325-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY C. THUE MD

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