05D0982960 CLIA NUMBER - SPALDING TRIANGLE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0982960
  • Facility Name: SPALDING TRIANGLE SURGERY CENTER
  • Facility Address: 120 SOUTH SPALDING DR., SUITE 115
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 601-3900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK GANJIANPOUR MD
  • NPI Number: 1750760898
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D0982960
LAB Type Ambulatory Surgery Center
Facility Name SPALDING TRIANGLE SURGERY CENTER
Street 120 SOUTH SPALDING DR., SUITE 115
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 601-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK GANJIANPOUR MD

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