05D2091227 CLIA NUMBER - GLENDORA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2091227
  • Facility Name: GLENDORA SURGERY CENTER
  • Facility Address: 541 S PASADENA AVE STE 101
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 626 610-1850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAJIB BOUZ
  • NPI Number: 1811921752
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2091227
LAB Type Physician Office
Facility Name GLENDORA SURGERY CENTER
Street 541 S PASADENA AVE STE 101
City GLENDORA
State CA
ZIP 91741
Phone 626 610-1850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director NAJIB BOUZ

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