05D2133709 CLIA NUMBER - MEMORIALCARE OUTPATIENT SURGICAL CENTER, LONG BEACH

Laboratory Demographics

  • CLIA Code: 05D2133709
  • Facility Name: MEMORIALCARE OUTPATIENT SURGICAL CENTER, LONG BEACH
  • Facility Address: 3833 WORSHAM AVE STE 200
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 562 426-2606
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GLENN IZMIRIAN
  • NPI Number: 1609253392
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2133709
LAB Type Ambulatory Surgery Center
Facility Name MEMORIALCARE OUTPATIENT SURGICAL CENTER, LONG BEACH
Street 3833 WORSHAM AVE STE 200
City LONG BEACH
State CA
ZIP 90808
Phone 562 426-2606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Ambulatory Surgery Center
Lab Director GLENN IZMIRIAN

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