05D2007848 CLIA NUMBER - COASTLINE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2007848
  • Facility Name: COASTLINE SURGERY CENTER
  • Facility Address: 3200 S BRISTOL STREET
    SANTA ANA, CA
    ZIP 92704
  • Facility Phone: 714 641-1111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ATEF RAFLA
  • NPI Number: 1790916096
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2007848
LAB Type Ambulatory Surgery Center
Facility Name COASTLINE SURGERY CENTER
Street 3200 S BRISTOL STREET
City SANTA ANA
State CA
ZIP 92704
Phone 714 641-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Ambulatory Surgery Center
Lab Director ATEF RAFLA

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