05D1082818 CLIA NUMBER - WEST COAST CENTER FOR SURGERIES

Laboratory Demographics

  • CLIA Code: 05D1082818
  • Facility Name: WEST COAST CENTER FOR SURGERIES
  • Facility Address: 653 CAMINO DE LOS MARES SUITE 101
    SAN CLEMENTE, CA
    ZIP 92673
  • Facility Phone: 949 545-6620
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAMIN TAYANI MD
  • NPI Number: 1295918977
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1082818
LAB Type Ambulatory Surgery Center
Facility Name WEST COAST CENTER FOR SURGERIES
Street 653 CAMINO DE LOS MARES SUITE 101
City SAN CLEMENTE
State CA
ZIP 92673
Phone 949 545-6620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Ambulatory Surgery Center
Lab Director RAMIN TAYANI MD

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