05D2011116 CLIA NUMBER - MOUNT SINAI SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2011116
  • Facility Name: MOUNT SINAI SURGERY CENTER
  • Facility Address: 18425 BURBANK BLVD # 105
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 310 470-8446
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAHRAM SALIMITARI
  • NPI Number: 1427369503
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2011116
LAB Type Ambulatory Surgery Center
Facility Name MOUNT SINAI SURGERY CENTER
Street 18425 BURBANK BLVD # 105
City TARZANA
State CA
ZIP 91356
Phone 310 470-8446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Ambulatory Surgery Center
Lab Director SHAHRAM SALIMITARI

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