05D0866780 CLIA NUMBER - GOLDEN TRIANGLE SURGICENTER,LP DBA GOLDEN TRIANGLE SURGICENTER

Laboratory Demographics

  • CLIA Code: 05D0866780
  • Facility Name: GOLDEN TRIANGLE SURGICENTER,LP DBA GOLDEN TRIANGLE SURGICENTER
  • Facility Address: 25405 HANCOCK AVE STE 103
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 698-4670
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Microscopy
  • Lab Director: BRUCE BAKER
  • NPI Number: 1952363368
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0866780
LAB Type Ambulatory Surgery Center
Facility Name GOLDEN TRIANGLE SURGICENTER,LP DBA GOLDEN TRIANGLE SURGICENTER
Street 25405 HANCOCK AVE STE 103
City MURRIETA
State CA
ZIP 92562
Phone 951 698-4670
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director BRUCE BAKER

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