05D2102699 CLIA NUMBER - CENTER FOR ADVANCE PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 05D2102699
  • Facility Name: CENTER FOR ADVANCE PLASTIC SURGERY
  • Facility Address: 947 E THOUSAND OAKS BLVD
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 777-3877
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GILIEL S. KRYGER
  • NPI Number: 1679949234
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2102699
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR ADVANCE PLASTIC SURGERY
Street 947 E THOUSAND OAKS BLVD
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 777-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Ambulatory Surgery Center
Lab Director GILIEL S. KRYGER

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