05D1091863 CLIA NUMBER - MOSAIC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D1091863
  • Facility Name: MOSAIC SURGERY CENTER, LLC
  • Facility Address: 17742 BEACH BLVD #335
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 848-1133
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEVE T. VU MD
  • NPI Number: 1508034380
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1091863
LAB Type Ambulance
Facility Name MOSAIC SURGERY CENTER, LLC
Street 17742 BEACH BLVD #335
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 848-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Ambulance
Lab Director STEVE T. VU MD

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