05D2052460 CLIA NUMBER - SKYPARK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2052460
  • Facility Name: SKYPARK SURGERY CENTER
  • Facility Address: 23441 MADISON STREET, SUITE 115
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 424 247-2206
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIC AHN
  • NPI Number: 1982965612
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052460
LAB Type Ambulatory Surgery Center
Facility Name SKYPARK SURGERY CENTER
Street 23441 MADISON STREET, SUITE 115
City TORRANCE
State CA
ZIP 90505
Phone 424 247-2206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Ambulatory Surgery Center
Lab Director ERIC AHN

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