05D2299485 CLIA NUMBER - OPTIMUM SURGICAL INC.

Laboratory Demographics

  • CLIA Code: 05D2299485
  • Facility Name: OPTIMUM SURGICAL INC.
  • Facility Address: 9675 BRIGHTON WAY SUITE B1
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 855-8058
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FARZIN FEIZBAKHSH
  • NPI Number: 1649831348
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2299485
LAB Type Ambulatory Surgery Center
Facility Name OPTIMUM SURGICAL INC.
Street 9675 BRIGHTON WAY SUITE B1
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 855-8058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Ambulatory Surgery Center
Lab Director FARZIN FEIZBAKHSH

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