05D2047025 CLIA NUMBER - PLASTIC SURGERY ASSOCIATES SURGICAL FACILITY

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Laboratory Demographics

CLIA Number: 05D2047025

Facility Name: PLASTIC SURGERY ASSOCIATES SURGICAL FACILITY

Facility Address:
1310 W. STEWART DR., STE. 610-A
ORANGE, CA
ZIP 92868
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Facility Phone Number: (714) 997-4300

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1053492736

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2047025
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	PLASTIC SURGERY ASSOCIATES SURGICAL FACILITY
Street	1310 W. STEWART DR., STE. 610-A
City	ORANGE
State	CA
ZIP	92868
Phone	(714) 997-4300

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This page was last updated on: 5/11/2023