05D2074601 CLIA NUMBER - BEVERLY SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2074601
  • Facility Name: BEVERLY SURGERY CENTER, INC
  • Facility Address: 1125 S BEVERLY DR STE 111
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 310 277-9905
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BHARAT PATEL
  • NPI Number: 1932520590
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2074601
LAB Type Ambulatory Surgery Center
Facility Name BEVERLY SURGERY CENTER, INC
Street 1125 S BEVERLY DR STE 111
City LOS ANGELES
State CA
ZIP 90035
Phone 310 277-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Ambulatory Surgery Center
Lab Director BHARAT PATEL

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