05D2311166 CLIA NUMBER - INNOVATE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2311166
  • Facility Name: INNOVATE SURGERY CENTER
  • Facility Address: 433 N CAMDEN DR STE 530
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 278-4000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER ZOUMALAN
  • NPI Number: 1184455727
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2311166
LAB Type Ambulatory Surgery Center
Facility Name INNOVATE SURGERY CENTER
Street 433 N CAMDEN DR STE 530
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 278-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER ZOUMALAN

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