05D2179595 CLIA NUMBER - LUX SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2179595
  • Facility Name: LUX SURGERY CENTER, INC
  • Facility Address: 27345 JEFFERSON AVENUE
    TEMECULA, CA
    ZIP 92590
  • Facility Phone: 951 699-9201
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ESTHER Y. KIM
  • NPI Number: 1033958020
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2179595
LAB Type Ambulatory Surgery Center
Facility Name LUX SURGERY CENTER, INC
Street 27345 JEFFERSON AVENUE
City TEMECULA
State CA
ZIP 92590
Phone 951 699-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Ambulatory Surgery Center
Lab Director ESTHER Y. KIM

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