05D1102490 CLIA NUMBER - MOBISURG, INC DBA PEDIATRIC AND SPECIALTY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1102490
  • Facility Name: MOBISURG, INC DBA PEDIATRIC AND SPECIALTY SURGERY CENTER
  • Facility Address: 23025 MILL CREEK DR
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 367-0800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAHRIAR ALIKHANI, MD
  • NPI Number: 1265689046
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1102490
LAB Type Ambulatory Surgery Center
Facility Name MOBISURG, INC DBA PEDIATRIC AND SPECIALTY SURGERY CENTER
Street 23025 MILL CREEK DR
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 367-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Ambulatory Surgery Center
Lab Director SHAHRIAR ALIKHANI, MD

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