05D2320276 CLIA NUMBER - HAAS SPECIALITY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2320276
  • Facility Name: HAAS SPECIALITY SURGERY CENTER
  • Facility Address: 1101 EAST BROADWAY SUITE 100
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 500-9286
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPAN O. KASIMIAN
  • NPI Number: 1497512883
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2320276
LAB Type Ambulatory Surgery Center
Facility Name HAAS SPECIALITY SURGERY CENTER
Street 1101 EAST BROADWAY SUITE 100
City GLENDALE
State CA
ZIP 91205
Phone 818 500-9286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Ambulatory Surgery Center
Lab Director STEPAN O. KASIMIAN

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