05D2304267 CLIA NUMBER - 436 AESTHETIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2304267
  • Facility Name: 436 AESTHETIC SURGERY CENTER
  • Facility Address: 436 NORTH BEDFORD DRIVE SUITE 203
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 550-7747
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT M. APPLEBAUM
  • NPI Number: 1235211137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2304267
LAB Type Ambulatory Surgery Center
Facility Name 436 AESTHETIC SURGERY CENTER
Street 436 NORTH BEDFORD DRIVE SUITE 203
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 550-7747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT M. APPLEBAUM

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