05D2046280 CLIA NUMBER - MANHATTAN BEACH SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2046280
  • Facility Name: MANHATTAN BEACH SURGICAL INSTITUTE
  • Facility Address: 1200 ROSECRANS AVE STE 110
    MANHATTAN BEACH, CA
    ZIP 90266
  • Facility Phone: 424 220-4400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FRANK B. GIACOBETTI MD
  • NPI Number: 1588929533
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2046280
LAB Type Ambulatory Surgery Center
Facility Name MANHATTAN BEACH SURGICAL INSTITUTE
Street 1200 ROSECRANS AVE STE 110
City MANHATTAN BEACH
State CA
ZIP 90266
Phone 424 220-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Ambulatory Surgery Center
Lab Director FRANK B. GIACOBETTI MD

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