05D2034254 CLIA NUMBER - ADVANCED MULTISPECIALITY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2034254
  • Facility Name: ADVANCED MULTISPECIALITY SURGERY CENTER
  • Facility Address: 1015 GAYLEY AVE, STE 105
    LOS ANGELES, CA
    ZIP 90024
  • Facility Phone: 310 289-7770
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER ZAHIRI
  • NPI Number: 1023391141
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2034254
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED MULTISPECIALITY SURGERY CENTER
Street 1015 GAYLEY AVE, STE 105
City LOS ANGELES
State CA
ZIP 90024
Phone 310 289-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER ZAHIRI

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This page was last updated on: 3/20/2025