05D1073791 CLIA NUMBER - MD SURGICAL SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 05D1073791
  • Facility Name: MD SURGICAL SOLUTIONS LLC
  • Facility Address: 15477 VENTURA BLVD STE 103
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 641-1214
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. LIN MD
  • NPI Number: 1134327182
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1073791
LAB Type Ambulatory Surgery Center
Facility Name MD SURGICAL SOLUTIONS LLC
Street 15477 VENTURA BLVD STE 103
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 641-1214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL T. LIN MD

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