05D1019193 CLIA NUMBER - FOOTHILL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1019193
  • Facility Name: FOOTHILL SURGERY CENTER
  • Facility Address: 255 E SANTA CLARA STREET SUITE 110
    ARCADIA, CA
    ZIP 91006
  • Facility Phone: 818 956-1010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD A. WEISE MD
  • NPI Number: 1144499633
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019193
LAB Type Ambulatory Surgery Center
Facility Name FOOTHILL SURGERY CENTER
Street 255 E SANTA CLARA STREET SUITE 110
City ARCADIA
State CA
ZIP 91006
Phone 818 956-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Ambulatory Surgery Center
Lab Director RICHARD A. WEISE MD

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