05D2218037 CLIA NUMBER - ALDEN ADVANCED SURGICENTER LLC

Laboratory Demographics

CLIA Number: 05D2218037

Facility Name: ALDEN ADVANCED SURGICENTER LLC

Facility Address:
8741 ALDEN DRIVE SUITE B
LOS ANGELES, CA
ZIP 90048
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Facility Phone Number: 310 652-2744

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1609473420

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2218037
LAB Type	Ambulatory Surgery Center
Facility Name	ALDEN ADVANCED SURGICENTER LLC
Street	8741 ALDEN DRIVE SUITE B
City	LOS ANGELES
State	CA
ZIP	90048
Phone	310 652-2744
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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