05D2113818 CLIA NUMBER - 90210 SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2113818
  • Facility Name: 90210 SURGERY CENTER
  • Facility Address: 436 N BEDFORD DR STE 200
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 777-0069
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RENATO CALABRIA, MD
  • NPI Number: 1467747493
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2113818
LAB Type Ambulatory Surgery Center
Facility Name 90210 SURGERY CENTER
Street 436 N BEDFORD DR STE 200
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 777-0069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Ambulatory Surgery Center
Lab Director RENATO CALABRIA, MD

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