05D2097839 CLIA NUMBER - ADVANCED THERAPY SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2097839
  • Facility Name: ADVANCED THERAPY SURGERY CENTER, INC
  • Facility Address: 804 7TH ST STE B
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 310 998-5533
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAFFY L. KARAMANOUKIAN, MD
  • NPI Number: 1679940233
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2097839
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED THERAPY SURGERY CENTER, INC
Street 804 7TH ST STE B
City SANTA MONICA
State CA
ZIP 90403
Phone 310 998-5533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Ambulatory Surgery Center
Lab Director RAFFY L. KARAMANOUKIAN, MD

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