05D2171764 CLIA NUMBER - CAMDEN SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D2171764

Facility Name: CAMDEN SURGERY CENTER

Facility Address:
414 N CAMDEN DRIVE, SUITE 800
BEVERLY HILLS, CA
ZIP 90210
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Facility Phone Number: 310 859-3991

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1003033341

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2171764
LAB Type	Ambulatory Surgery Center
Facility Name	CAMDEN SURGERY CENTER
Street	414 N CAMDEN DRIVE, SUITE 800
City	BEVERLY HILLS
State	CA
ZIP	90210
Phone	310 859-3991
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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