05D2113750 CLIA NUMBER - SBPS AESTHETIC INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2113750
  • Facility Name: SBPS AESTHETIC INSTITUTE
  • Facility Address: 3640 LOMITA BLVD STE 302
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 784-0644
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. NEWMAN
  • NPI Number: 1245693100
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2113750
LAB Type Ambulatory Surgery Center
Facility Name SBPS AESTHETIC INSTITUTE
Street 3640 LOMITA BLVD STE 302
City TORRANCE
State CA
ZIP 90505
Phone 310 784-0644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL K. NEWMAN

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