05D2057515 CLIA NUMBER - Playa Advance Surgical Institute, Llc

Laboratory Demographics

CLIA Number: 05D2057515

Facility Name: Playa Advance Surgical Institute, Llc

Facility Address:
5450 Lincoln Blvd.,
Playa Vista, CA
ZIP 90094
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Facility Phone Number: (310) 301-5980

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1659624682

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2057515
LAB Type AMBULATORY SURGERY CENTER
Facility Name Playa Advance Surgical Institute, Llc
Street 5450 Lincoln Blvd.,
City Playa Vista
State CA
ZIP 90094
Phone 3103015980

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This page was last updated on: 5/19/2019