05D2079524 CLIA NUMBER - WEST LA SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2079524
  • Facility Name: WEST LA SURGERY CENTER LLC
  • Facility Address: 2080 CENTURY PARK EAST STE 450
    LOS ANGELES, CA
    ZIP 90067
  • Facility Phone: 626 744-3288
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AYKUT BAYRAK
  • NPI Number: 1619394467
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2079524
LAB Type Ambulatory Surgery Center
Facility Name WEST LA SURGERY CENTER LLC
Street 2080 CENTURY PARK EAST STE 450
City LOS ANGELES
State CA
ZIP 90067
Phone 626 744-3288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Ambulatory Surgery Center
Lab Director AYKUT BAYRAK

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This page was last updated on: 3/20/2025