05D2182045 CLIA NUMBER - WEST HEALTHCARE SURGICAL INSTITUTE

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Laboratory Demographics

CLIA Number: 05D2182045

Facility Name: WEST HEALTHCARE SURGICAL INSTITUTE

Facility Address:
3220 SEPULVEDA BLVD SUITE 201
TORRANCE, CA
ZIP 90505
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Facility Phone Number: 310 954-9583

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1447801022

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2182045
LAB Type	Ambulatory Surgery Center
Facility Name	WEST HEALTHCARE SURGICAL INSTITUTE
Street	3220 SEPULVEDA BLVD SUITE 201
City	TORRANCE
State	CA
ZIP	90505
Phone	310 954-9583
CertificateType	4
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	Waiver

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