05D2144104 CLIA NUMBER - GALEA CENTER FOR ADVANCED SURGERY

Laboratory Demographics

  • CLIA Code: 05D2144104
  • Facility Name: GALEA CENTER FOR ADVANCED SURGERY
  • Facility Address: 20360 SW BIRCH ST, SUITE 160
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 626 394-1580
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALEXANDER TAGHVA, MD
  • NPI Number: 1912412420
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2144104
LAB Type Ambulatory Surgery Center
Facility Name GALEA CENTER FOR ADVANCED SURGERY
Street 20360 SW BIRCH ST, SUITE 160
City NEWPORT BEACH
State CA
ZIP 92660
Phone 626 394-1580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Ambulatory Surgery Center
Lab Director ALEXANDER TAGHVA, MD

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