05D2059525 CLIA NUMBER - RPH SURGERY CENTER CORP

Laboratory Demographics

  • CLIA Code: 05D2059525
  • Facility Name: RPH SURGERY CENTER CORP
  • Facility Address: 465 N. ROXBURY DR., PENTHOUSE SUITE
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 770-9949
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN F. DIAZ, MD
  • NPI Number: 1346688355
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2059525
LAB Type Ambulatory Surgery Center
Facility Name RPH SURGERY CENTER CORP
Street 465 N. ROXBURY DR., PENTHOUSE SUITE
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 770-9949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN F. DIAZ, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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