05D1097693 CLIA NUMBER - ATLANTIS SURGERY CENTER MONTEBELLO

Laboratory Demographics

CLIA Number: 05D1097693

Facility Name: ATLANTIS SURGERY CENTER MONTEBELLO

Facility Address:
229 E BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Get Directions

Facility Phone Number: 323 647-3350

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1871057786

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1097693
LAB Type	Ambulatory Surgery Center
Facility Name	ATLANTIS SURGERY CENTER MONTEBELLO
Street	229 E BEVERLY BLVD
City	MONTEBELLO
State	CA
ZIP	90640
Phone	323 647-3350
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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