05D2308668 CLIA NUMBER - ADVANCED SURGICAL CENTER OF BEVERLY HILLS

Laboratory Demographics

  • CLIA Code: 05D2308668
  • Facility Name: ADVANCED SURGICAL CENTER OF BEVERLY HILLS
  • Facility Address: 8750 WILSHIRE BLVD SUITE 150
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 424 382-1137
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON M. CUELLAR
  • NPI Number: 1679689244
  • Taxonomy: 2085B0100X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2308668
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICAL CENTER OF BEVERLY HILLS
Street 8750 WILSHIRE BLVD SUITE 150
City BEVERLY HILLS
State CA
ZIP 90211
Phone 424 382-1137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Ambulatory Surgery Center
Lab Director JASON M. CUELLAR

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This page was last updated on: 3/20/2025