05D2028927 CLIA NUMBER - K AND B SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2028927
  • Facility Name: K AND B SURGICAL CENTER
  • Facility Address: 9033 WILSHIRE BLVD STE 210
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 746-4700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THEODORE M. KHALILI
  • NPI Number: 1518257310
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2028927
LAB Type Ambulatory Surgery Center
Facility Name K AND B SURGICAL CENTER
Street 9033 WILSHIRE BLVD STE 210
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 746-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Ambulatory Surgery Center
Lab Director THEODORE M. KHALILI

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