05D2182176 CLIA NUMBER - FIRST SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2182176
  • Facility Name: FIRST SURGERY CENTER INC
  • Facility Address: 31625 DE PORTOLA ROAD, SUITE 201
    TEMECULA, CA
    ZIP 92592
  • Facility Phone: 951 973-2939
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEIL CHAKRABARTY
  • NPI Number: 1518592021
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2182176
LAB Type Ambulatory Surgery Center
Facility Name FIRST SURGERY CENTER INC
Street 31625 DE PORTOLA ROAD, SUITE 201
City TEMECULA
State CA
ZIP 92592
Phone 951 973-2939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Ambulatory Surgery Center
Lab Director NEIL CHAKRABARTY

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