05D2102546 CLIA NUMBER - BRAND SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2102546
  • Facility Name: BRAND SURGERY CENTER, LLC
  • Facility Address: 1146 N BRAND BLVD
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 426-7077
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HAROUTUN HOVANESIAN, MD
  • NPI Number: 1437537107
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2102546
LAB Type Ambulatory Surgery Center
Facility Name BRAND SURGERY CENTER, LLC
Street 1146 N BRAND BLVD
City GLENDALE
State CA
ZIP 91202
Phone 818 426-7077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Ambulatory Surgery Center
Lab Director HAROUTUN HOVANESIAN, MD

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