05D2113458 CLIA NUMBER - OPTIMA SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2113458
  • Facility Name: OPTIMA SURGERY CENTER LLC
  • Facility Address: 1500 S CENTRAL AVE STE 126
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 409-0060
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER K. KAYPEKIAN
  • NPI Number: 1265896559
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2113458
LAB Type Ambulatory Surgery Center
Facility Name OPTIMA SURGERY CENTER LLC
Street 1500 S CENTRAL AVE STE 126
City GLENDALE
State CA
ZIP 91204
Phone 818 409-0060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER K. KAYPEKIAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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