05D2116467 CLIA NUMBER - ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2116467
  • Facility Name: ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CENTER LLC
  • Facility Address: 403 W ADAMS BLVD
    LOS ANGELES, CA
    ZIP 90007
  • Facility Phone: 213 742-1105
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAURICIO SILVA
  • NPI Number: 1689632374
  • Taxonomy: 251F00000X - Home Infusion

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CLIA Record

Field Name Field Value
CLIA Number 05D2116467
LAB Type Ambulatory Surgery Center
Facility Name ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CENTER LLC
Street 403 W ADAMS BLVD
City LOS ANGELES
State CA
ZIP 90007
Phone 213 742-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Ambulatory Surgery Center
Lab Director MAURICIO SILVA

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