05D2068030 CLIA NUMBER - KINETIX SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2068030
  • Facility Name: KINETIX SURGERY CENTER
  • Facility Address: 5651 SEPULVEDA BLVD STE 101
    SHERMAN OAKS, CA
    ZIP 91411
  • Facility Phone: 818 442-9696
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EDWIN HARONIAN, MD
  • NPI Number: 1548609472
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2068030
LAB Type Ambulatory Surgery Center
Facility Name KINETIX SURGERY CENTER
Street 5651 SEPULVEDA BLVD STE 101
City SHERMAN OAKS
State CA
ZIP 91411
Phone 818 442-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Ambulatory Surgery Center
Lab Director EDWIN HARONIAN, MD

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