05D2287724 CLIA NUMBER - MARINA VIEW SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2287724
  • Facility Name: MARINA VIEW SURGERY CENTER
  • Facility Address: 4640 ADMIRALTY WAY SUITE 1002
    MARINA DEL REY, CA
    ZIP 90292
  • Facility Phone: 310 300-1779
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID STOKER
  • NPI Number: 1528308459
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2287724
LAB Type Ambulatory Surgery Center
Facility Name MARINA VIEW SURGERY CENTER
Street 4640 ADMIRALTY WAY SUITE 1002
City MARINA DEL REY
State CA
ZIP 90292
Phone 310 300-1779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID STOKER

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