05D2052163 CLIA NUMBER - ZAHRA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2052163
  • Facility Name: ZAHRA SURGERY CENTER
  • Facility Address: 28975 OLD TOWN FRONT ST., STE. 100
    TEMECULA, CA
    ZIP 92590
  • Facility Phone: 951 719-3111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES M. FAIT
  • NPI Number: 1356685457
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052163
LAB Type Ambulatory Surgery Center
Facility Name ZAHRA SURGERY CENTER
Street 28975 OLD TOWN FRONT ST., STE. 100
City TEMECULA
State CA
ZIP 92590
Phone 951 719-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES M. FAIT

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