05D0574069 CLIA NUMBER - INLAND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0574069
  • Facility Name: INLAND SURGERY CENTER
  • Facility Address: 1620 LAUREL AVE
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 793-4701
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES WATSON MD
  • NPI Number: 1942265939
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0574069
LAB Type Ambulatory Surgery Center
Facility Name INLAND SURGERY CENTER
Street 1620 LAUREL AVE
City REDLANDS
State CA
ZIP 92373
Phone 909 793-4701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES WATSON MD

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