05D2131369 CLIA NUMBER - AFFINITY SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2131369
  • Facility Name: AFFINITY SURGERY CENTER INC
  • Facility Address: 16311 VENTURA BLVD STE 555
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 986-7900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADRIAN YI, MD
  • NPI Number: 1548799927
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2131369
LAB Type Ambulatory Surgery Center
Facility Name AFFINITY SURGERY CENTER INC
Street 16311 VENTURA BLVD STE 555
City ENCINO
State CA
ZIP 91436
Phone 818 986-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Ambulatory Surgery Center
Lab Director ADRIAN YI, MD

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