05D0880107 CLIA NUMBER - UNITED SURGERY CENTER ORANGE, LLC

Laboratory Demographics

  • CLIA Code: 05D0880107
  • Facility Name: UNITED SURGERY CENTER ORANGE, LLC
  • Facility Address: 1140 W LAVETA AVE SUITE 550
    ORANGE, CA
    ZIP 92668
  • Facility Phone: 714 835-3636
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PHILIP T. CHEN MD
  • NPI Number: 1861907107
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0880107
LAB Type Ambulatory Surgery Center
Facility Name UNITED SURGERY CENTER ORANGE, LLC
Street 1140 W LAVETA AVE SUITE 550
City ORANGE
State CA
ZIP 92668
Phone 714 835-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Ambulatory Surgery Center
Lab Director PHILIP T. CHEN MD

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