05D2120029 CLIA NUMBER - FIRST CHOICE SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2120029
  • Facility Name: FIRST CHOICE SURGICAL CENTER
  • Facility Address: 5651 SEPULVEDA BLVD STE 103
    SHERMAN OAKS, CA
    ZIP 91411
  • Facility Phone: 818 373-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TATOYAN, KRIKOR, B M TATOYAN, MD
  • NPI Number: 1982157053
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2120029
LAB Type Physician Office
Facility Name FIRST CHOICE SURGICAL CENTER
Street 5651 SEPULVEDA BLVD STE 103
City SHERMAN OAKS
State CA
ZIP 91411
Phone 818 373-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director TATOYAN, KRIKOR, B M TATOYAN, MD

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