05D2049977 CLIA NUMBER - REPRODUCTIVE SPECIALTY SURGICAL CENTER, INC.

Laboratory Demographics

  • CLIA Code: 05D2049977
  • Facility Name: REPRODUCTIVE SPECIALTY SURGICAL CENTER, INC.
  • Facility Address: 15500 SAND CANYON AVE., S110
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 726-0600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LAWRENCE B. WERLIN
  • NPI Number: 1154453983
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2049977
LAB Type Ambulatory Surgery Center
Facility Name REPRODUCTIVE SPECIALTY SURGICAL CENTER, INC.
Street 15500 SAND CANYON AVE., S110
City IRVINE
State CA
ZIP 92618
Phone 949 726-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ambulatory Surgery Center
Lab Director LAWRENCE B. WERLIN

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This page was last updated on: 3/20/2025