05D2043099 CLIA NUMBER - ADVANCED SPECIALTY CARE, LLC

Laboratory Demographics

  • CLIA Code: 05D2043099
  • Facility Name: ADVANCED SPECIALTY CARE, LLC
  • Facility Address: 3470 WILSHIRE BLVD STE 600
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 213 739-1155
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EZEQUIEL A. SUAREZ MD
  • NPI Number: 1225622921
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 05D2043099
LAB Type Home Health Agency
Facility Name ADVANCED SPECIALTY CARE, LLC
Street 3470 WILSHIRE BLVD STE 600
City LOS ANGELES
State CA
ZIP 90010
Phone 213 739-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Home Health Agency
Lab Director EZEQUIEL A. SUAREZ MD

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