05D2135870 CLIA NUMBER - COAST SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2135870
  • Facility Name: COAST SURGERY CENTER INC
  • Facility Address: 18800 DELAWARE ST STE 550
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 375-3600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICIA WASHINGTON, MD
  • NPI Number: 1023538220
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2135870
LAB Type Ambulatory Surgery Center
Facility Name COAST SURGERY CENTER INC
Street 18800 DELAWARE ST STE 550
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 375-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Ambulatory Surgery Center
Lab Director PATRICIA WASHINGTON, MD

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