05D1010969 CLIA NUMBER - MED-LASER SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D1010969
  • Facility Name: MED-LASER SURGICAL CENTER, LLC
  • Facility Address: 2445 W WHITTIER BLVD, STE 100
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 727-2550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALEJANDRA UCHIO
  • NPI Number: 1538178256
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1010969
LAB Type Ambulatory Surgery Center
Facility Name MED-LASER SURGICAL CENTER, LLC
Street 2445 W WHITTIER BLVD, STE 100
City MONTEBELLO
State CA
ZIP 90640
Phone 323 727-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Ambulatory Surgery Center
Lab Director ALEJANDRA UCHIO

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