05D2037339 CLIA NUMBER - 436 BEVERLY HILLS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2037339
  • Facility Name: 436 BEVERLY HILLS SURGERY CENTER
  • Facility Address: 436 N BEDFORD DR SUITE 102
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 385-8819
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LISA B. CASSILETH
  • NPI Number: 1972694487
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2037339
LAB Type Ambulatory Surgery Center
Facility Name 436 BEVERLY HILLS SURGERY CENTER
Street 436 N BEDFORD DR SUITE 102
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 385-8819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Ambulatory Surgery Center
Lab Director LISA B. CASSILETH

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