05D2180299 CLIA NUMBER - ELITE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2180299
  • Facility Name: ELITE SURGERY CENTER, LLC
  • Facility Address: 38920 TRADE CENTER DRIVE
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 818 441-3606
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EMERY L. CHEN
  • NPI Number: 1396277208
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2180299
LAB Type Ambulatory Surgery Center
Facility Name ELITE SURGERY CENTER, LLC
Street 38920 TRADE CENTER DRIVE
City PALMDALE
State CA
ZIP 93551
Phone 818 441-3606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Ambulatory Surgery Center
Lab Director EMERY L. CHEN

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