05D2305819 CLIA NUMBER - TRI-COUNTY SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2305819
  • Facility Name: TRI-COUNTY SURGERY CENTER, INC
  • Facility Address: 10390 SANTA MONICA BLVD STE 340
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 855-3688
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ELLEN GOLDSTEIN
  • NPI Number: 1194907642
  • Taxonomy: 261QA0006X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2305819
LAB Type Physician Office
Facility Name TRI-COUNTY SURGERY CENTER, INC
Street 10390 SANTA MONICA BLVD STE 340
City LOS ANGELES
State CA
ZIP 90025
Phone 310 855-3688
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director DR. ELLEN GOLDSTEIN

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