05D2124394 CLIA NUMBER - LUXE SURGERY CENTER CORP

Laboratory Demographics

CLIA Number: 05D2124394

Facility Name: LUXE SURGERY CENTER CORP

Facility Address:
416 N BEDFORD STE 210
BEVERLY HILLS, CA
ZIP 90210
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Facility Phone Number: 310 276-3662

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1154873560

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2124394
LAB Type	Ambulatory Surgery Center
Facility Name	LUXE SURGERY CENTER CORP
Street	416 N BEDFORD STE 210
City	BEVERLY HILLS
State	CA
ZIP	90210
Phone	310 276-3662
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024