05D1056118 CLIA NUMBER - MERIT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1056118
  • Facility Name: MERIT SURGERY CENTER
  • Facility Address: 843 E FOOTHILL BLVD
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 982-1002
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALI M. HEIDAN
  • NPI Number: 1114103587
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1056118
LAB Type Ambulatory Surgery Center
Facility Name MERIT SURGERY CENTER
Street 843 E FOOTHILL BLVD
City UPLAND
State CA
ZIP 91786
Phone 909 982-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulatory Surgery Center
Lab Director ALI M. HEIDAN

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