05D2043170 CLIA NUMBER - SOMA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2043170
  • Facility Name: SOMA SURGERY CENTER
  • Facility Address: 8929 WILSHIRE BLVD STE 102
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 855-8936
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOUSHMAND RAIM MD
  • NPI Number: 1013275965
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2043170
LAB Type Ambulatory Surgery Center
Facility Name SOMA SURGERY CENTER
Street 8929 WILSHIRE BLVD STE 102
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 855-8936
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Ambulatory Surgery Center
Lab Director HOUSHMAND RAIM MD

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