05D2294092 CLIA NUMBER - ENDOSCOPY CENTER OF BEVERLY HILLS LLC

Laboratory Demographics

  • CLIA Code: 05D2294092
  • Facility Name: ENDOSCOPY CENTER OF BEVERLY HILLS LLC
  • Facility Address: 8641 WILSHIRE BLVD SUITE 225
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 363-7060
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OMID SHAYE
  • NPI Number: 1770811820
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2294092
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER OF BEVERLY HILLS LLC
Street 8641 WILSHIRE BLVD SUITE 225
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 363-7060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Ambulatory Surgery Center
Lab Director OMID SHAYE

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