05D2185535 CLIA NUMBER - LAX SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2185535
  • Facility Name: LAX SURGERY CENTER LLC
  • Facility Address: 5450 LINCOLN BLVD SUITE 100
    PLAYA VISTA, CA
    ZIP 90094
  • Facility Phone: 310 305-9200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADNAN QURESHI
  • NPI Number: 1457943243
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2185535
LAB Type Ambulatory Surgery Center
Facility Name LAX SURGERY CENTER LLC
Street 5450 LINCOLN BLVD SUITE 100
City PLAYA VISTA
State CA
ZIP 90094
Phone 310 305-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Ambulatory Surgery Center
Lab Director ADNAN QURESHI

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