05D2069169 CLIA NUMBER - ADMIRALTY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2069169
  • Facility Name: ADMIRALTY SURGERY CENTER
  • Facility Address: 4640 ADMIRALTY WAY 718 B
    MARINA DEL REY, CA
    ZIP 90292
  • Facility Phone: 310 823-4444
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FARHAD SIGARI, MD
  • NPI Number: 1508293853
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2069169
LAB Type Ambulatory Surgery Center
Facility Name ADMIRALTY SURGERY CENTER
Street 4640 ADMIRALTY WAY 718 B
City MARINA DEL REY
State CA
ZIP 90292
Phone 310 823-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Ambulatory Surgery Center
Lab Director FARHAD SIGARI, MD

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