05D2218037 CLIA NUMBER - ALDEN ADVANCED SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2218037
  • Facility Name: ALDEN ADVANCED SURGICENTER LLC
  • Facility Address: 8741 ALDEN DRIVE SUITE B
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 652-2744
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MOINAKHTAR LALA
  • NPI Number: 1609473420
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Ambulatory Surgery Center
Lab Director MOINAKHTAR LALA

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