05D2107632 CLIA NUMBER - BEVERLY HILLS DOCTORS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2107632
  • Facility Name: BEVERLY HILLS DOCTORS SURGERY CENTER LLC
  • Facility Address: 120 S SPALDING DR STE 402
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 275-3304
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GRACE PENG
  • NPI Number: 1215394523
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2107632
LAB Type Ambulatory Surgery Center
Facility Name BEVERLY HILLS DOCTORS SURGERY CENTER LLC
Street 120 S SPALDING DR STE 402
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 275-3304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Ambulatory Surgery Center
Lab Director GRACE PENG

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