05D2322125 CLIA NUMBER - MEDSURGICAL

Laboratory Demographics

  • CLIA Code: 05D2322125
  • Facility Name: MEDSURGICAL
  • Facility Address: 99 N LA CIENEGA BLVD, SUITE 109
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 855 786-7846
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALEXANDER GHATAN
  • NPI Number: 1992683429
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2322125
LAB Type Ambulatory Surgery Center
Facility Name MEDSURGICAL
Street 99 N LA CIENEGA BLVD, SUITE 109
City BEVERLY HILLS
State CA
ZIP 90211
Phone 855 786-7846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Ambulatory Surgery Center
Lab Director ALEXANDER GHATAN

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