05D2184494 CLIA NUMBER - LANCASTER SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2184494
  • Facility Name: LANCASTER SURGERY CENTER LLC
  • Facility Address: 1741 WEST AVE J
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 310 923-2723
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BABAK SHABATIAN
  • NPI Number: 1306478672
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2184494
LAB Type Ambulatory Surgery Center
Facility Name LANCASTER SURGERY CENTER LLC
Street 1741 WEST AVE J
City LANCASTER
State CA
ZIP 93534
Phone 310 923-2723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Ambulatory Surgery Center
Lab Director BABAK SHABATIAN

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