05D2303422 CLIA NUMBER - LONG BEACH SURGICARE LLC

Laboratory Demographics

  • CLIA Code: 05D2303422
  • Facility Name: LONG BEACH SURGICARE LLC
  • Facility Address: 4401 ATLANTIC AVE, STE 101
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 424 423-0703
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PEDRAM ENAYATI
  • NPI Number: 1114294766
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 05D2303422
LAB Type Ambulatory Surgery Center
Facility Name LONG BEACH SURGICARE LLC
Street 4401 ATLANTIC AVE, STE 101
City LONG BEACH
State CA
ZIP 90807
Phone 424 423-0703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Ambulatory Surgery Center
Lab Director PEDRAM ENAYATI

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