05D2127223 CLIA NUMBER - EOS WELLNESS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2127223
  • Facility Name: EOS WELLNESS SURGERY CENTER LLC
  • Facility Address: 8641 WILSHIRE BLVD STE 305
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 730-1218
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIMA SHEMIRANI, MD
  • NPI Number: 1801384987
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2127223
LAB Type Ambulatory Surgery Center
Facility Name EOS WELLNESS SURGERY CENTER LLC
Street 8641 WILSHIRE BLVD STE 305
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 730-1218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Ambulatory Surgery Center
Lab Director NIMA SHEMIRANI, MD

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