05D2294578 CLIA NUMBER - BEVERLY HILLS SPECIALTY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2294578
  • Facility Name: BEVERLY HILLS SPECIALTY SURGICAL CENTER
  • Facility Address: 8929 WILSHIRE BLE SUITE 415
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 424 512-1900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM RAHAL
  • NPI Number: 1952345290
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2294578
LAB Type Ambulatory Surgery Center
Facility Name BEVERLY HILLS SPECIALTY SURGICAL CENTER
Street 8929 WILSHIRE BLE SUITE 415
City BEVERLY HILLS
State CA
ZIP 90211
Phone 424 512-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM RAHAL

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