05D1092433 CLIA NUMBER - PHYSICIANS' SURGERY CENTER OF DOWNEY, INC

Laboratory Demographics

CLIA Number: 05D1092433

Facility Name: PHYSICIANS' SURGERY CENTER OF DOWNEY, INC

Facility Address:
8200 FIRESTONE BLVD
DOWNEY, CA
ZIP 90241
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Facility Phone Number: 562 869-0500

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1538316278

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1092433
LAB Type	Ambulatory Surgery Center
Facility Name	PHYSICIANS' SURGERY CENTER OF DOWNEY, INC
Street	8200 FIRESTONE BLVD
City	DOWNEY
State	CA
ZIP	90241
Phone	562 869-0500
CertificateType	4
CertificateEffectiveDate	11/24/2022
CertificateExpirationDate	11/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024