05D2116200 CLIA NUMBER - SERRANO SURGERY CENTER, INC.

Laboratory Demographics

  • CLIA Code: 05D2116200
  • Facility Name: SERRANO SURGERY CENTER, INC.
  • Facility Address: 4220 W 3RD ST STE 114
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 418-0199
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID K. KAHNG, MD
  • NPI Number: 1891148532
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2116200
LAB Type Ambulatory Surgery Center
Facility Name SERRANO SURGERY CENTER, INC.
Street 4220 W 3RD ST STE 114
City LOS ANGELES
State CA
ZIP 90020
Phone 213 418-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID K. KAHNG, MD

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