CLIA lab
CLIA 05D0919097: 90210 Surgery Medical Center
Beverly Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0919097 belongs to 90210 Surgery Medical Center in Beverly Hills, CA.
Certificate of Waiver, effective November 8, 2025, expires November 7, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 8, 2025
- Certificate expiration
- November 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 1996
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0919097
- Lab name
- 90210 Surgery Medical Center
- Address
- 450 N Roxbury Dr, Ste 600, Beverly Hills, CA 90210
- Phone
- (310) 650-2050
- Fax
- (310) 651-2055
Annual test volume the lab reported
- Waived tests
- 520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Beverly Hills, CA
- 436 Aesthetic Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2304267
- 436 Beverly Hills Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2037339
- 90210 Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2113818
- 90210 Surgery Medical Center at LindenCertificate of Waiver, Ambulatory surgery center05D1039831
- Advanced Pain Medical Group, IncCertificate of Waiver, Other practitioner05D2136407
- Advanced Surgical Center of Beverly HillsCertificate of Waiver, Ambulatory surgery center05D2308668
- Advanced Surgical InstituteCertificate of Waiver, Physician office05D2242709
- Aesthetic Physicians of California, Inc.,Certificate of Waiver, Physician office05D2010308
- Airsculpt Beverly Hills/Elite Body SculptureCertificate of Waiver, Physician office05D2061564
- Albert Fuchs MDCertificate of Waiver, Physician office05D0974950
Related
Questions
What is the CLIA number for 90210 Surgery Medical Center in Beverly Hills?
05D0919097, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 90210 Surgery Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0919097 expire?
The CMS file lists November 7, 2027 as the certificate expiration date; the certificate took effect November 8, 2025.