05D0984199 CLIA NUMBER - AGMG ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D0984199
  • Facility Name: AGMG ENDOSCOPY CENTER
  • Facility Address: 1211 W LA PALMA ANAHEIM MEMORIAL MEDICAL TOWER STE 301
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 284-0737
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DENNIS S. RIFF MD
  • NPI Number: 1104822808
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0984199
LAB Type Ambulatory Surgery Center
Facility Name AGMG ENDOSCOPY CENTER
Street 1211 W LA PALMA ANAHEIM MEMORIAL MEDICAL TOWER STE 301
City ANAHEIM
State CA
ZIP 92801
Phone 714 284-0737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Ambulatory Surgery Center
Lab Director DENNIS S. RIFF MD

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