05D2202122 CLIA NUMBER - BIOHEALTH SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2202122
  • Facility Name: BIOHEALTH SURGICAL INSTITUTE
  • Facility Address: 1451 BROADWAY
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 747-3200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BAHMAN SHAMLOO
  • NPI Number: 1063656809
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2202122
LAB Type Ambulatory Surgery Center
Facility Name BIOHEALTH SURGICAL INSTITUTE
Street 1451 BROADWAY
City SANTA MONICA
State CA
ZIP 90404
Phone 310 747-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Ambulatory Surgery Center
Lab Director BAHMAN SHAMLOO

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