05D1099897 CLIA NUMBER - FIRST STREET SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D1099897
  • Facility Name: FIRST STREET SURGERY CENTER, INC
  • Facility Address: 2010 EAST 1ST ST STE 110
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 556-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC B. CHENG, MD
  • NPI Number: 1194966051
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1099897
LAB Type Ambulatory Surgery Center
Facility Name FIRST STREET SURGERY CENTER, INC
Street 2010 EAST 1ST ST STE 110
City SANTA ANA
State CA
ZIP 92705
Phone 714 556-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Ambulatory Surgery Center
Lab Director MARC B. CHENG, MD

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