05D2259476 CLIA NUMBER - CALABASAS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2259476
  • Facility Name: CALABASAS SURGERY CENTER
  • Facility Address: 23621 PARK SORRENTO, SUITE 100
    CALABASAS, CA
    ZIP 91302
  • Facility Phone: 818 222-2530
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAYANK V. PATEL
  • NPI Number: 1235803487
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2259476
LAB Type Ambulatory Surgery Center
Facility Name CALABASAS SURGERY CENTER
Street 23621 PARK SORRENTO, SUITE 100
City CALABASAS
State CA
ZIP 91302
Phone 818 222-2530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Ambulatory Surgery Center
Lab Director MAYANK V. PATEL

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