05D2160550 CLIA NUMBER - STELLAR SURGICAL SPECIALTIES

Laboratory Demographics

  • CLIA Code: 05D2160550
  • Facility Name: STELLAR SURGICAL SPECIALTIES
  • Facility Address: 69780 STELLAR DRIVE SUITE B
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 424-3399
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC LYNCH
  • NPI Number: 1558625731
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2160550
LAB Type Ambulatory Surgery Center
Facility Name STELLAR SURGICAL SPECIALTIES
Street 69780 STELLAR DRIVE SUITE B
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 424-3399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Ambulatory Surgery Center
Lab Director MARC LYNCH

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