05D2294092 CLIA NUMBER - ENDOSCOPY CENTER OF BEVERLY HILLS LLC

Laboratory Demographics

CLIA Number: 05D2294092

Facility Name: ENDOSCOPY CENTER OF BEVERLY HILLS LLC

Facility Address:
8641 WILSHIRE BLVD SUITE 225
BEVERLY HILLS, CA
ZIP 90211
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Facility Phone Number: 310 363-7060

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1770811820

Taxonomy: 261QM1300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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