05D2019815 CLIA NUMBER - ALLIED SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2019815
  • Facility Name: ALLIED SURGERY CENTER
  • Facility Address: 13132 NEWPORT AVE STE 210
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 919-5883
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NAZIH M. HADDAD MD
  • NPI Number: 1699077842
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2019815
LAB Type Ambulatory Surgery Center
Facility Name ALLIED SURGERY CENTER
Street 13132 NEWPORT AVE STE 210
City TUSTIN
State CA
ZIP 92780
Phone 714 919-5883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Ambulatory Surgery Center
Lab Director NAZIH M. HADDAD MD

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