05D1005792 CLIA NUMBER - ALLIANCE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1005792
  • Facility Name: ALLIANCE SURGERY CENTER
  • Facility Address: 295 E IMPERIAL HWY STE 200B
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 714 770-8400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOWARD DEDES
  • NPI Number: 1275638413
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1005792
LAB Type Ambulatory Surgery Center
Facility Name ALLIANCE SURGERY CENTER
Street 295 E IMPERIAL HWY STE 200B
City FULLERTON
State CA
ZIP 92835
Phone 714 770-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ambulatory Surgery Center
Lab Director HOWARD DEDES

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