05D2094875 CLIA NUMBER - VALLEY SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2094875
  • Facility Name: VALLEY SURGERY CENTER INC
  • Facility Address: 16917 ENADIA WAY
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 818 401-1010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IHAB N. AZIZ
  • NPI Number: 1124411848
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2094875
LAB Type Ambulatory Surgery Center
Facility Name VALLEY SURGERY CENTER INC
Street 16917 ENADIA WAY
City VAN NUYS
State CA
ZIP 91406
Phone 818 401-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Ambulatory Surgery Center
Lab Director IHAB N. AZIZ

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