05D2001298 CLIA NUMBER - FOOTHILL COSMETIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2001298
  • Facility Name: FOOTHILL COSMETIC SURGERY CENTER
  • Facility Address: 2301 E FOOTHILL BLVD #200
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 852-3376
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMARPAUL SIDHU
  • NPI Number: 1275763666
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2001298
LAB Type Ambulatory Surgery Center
Facility Name FOOTHILL COSMETIC SURGERY CENTER
Street 2301 E FOOTHILL BLVD #200
City GLENDORA
State CA
ZIP 91740
Phone 626 852-3376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulatory Surgery Center
Lab Director AMARPAUL SIDHU

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This page was last updated on: 6/4/2025