05D2155535 CLIA NUMBER - SOCAL SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2155535
  • Facility Name: SOCAL SURGERY CENTER LLC
  • Facility Address: 4477 W 118TH ST STE 502
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 213 600-0472
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: REEKESH PATEL
  • NPI Number: 1871029389
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2155535
LAB Type Ambulatory Surgery Center
Facility Name SOCAL SURGERY CENTER LLC
Street 4477 W 118TH ST STE 502
City HAWTHORNE
State CA
ZIP 90250
Phone 213 600-0472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director REEKESH PATEL

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