05D2120307 CLIA NUMBER - BEVERLY HILLS TRIANGLE SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2120307
  • Facility Name: BEVERLY HILLS TRIANGLE SURGERY CENTER INC
  • Facility Address: 9735 WILSHIRE BLVD STE 321
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 278-1836
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEHRYAR TABAN
  • NPI Number: 1962959361
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2120307
LAB Type Ambulatory Surgery Center
Facility Name BEVERLY HILLS TRIANGLE SURGERY CENTER INC
Street 9735 WILSHIRE BLVD STE 321
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 278-1836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Ambulatory Surgery Center
Lab Director MEHRYAR TABAN

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