05D2230847 CLIA NUMBER - GRACE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2230847
  • Facility Name: GRACE SURGERY CENTER
  • Facility Address: 23911 CALGROVE BLVD
    SANTA CLARITA, CA
    ZIP 91321
  • Facility Phone: 818 401-1010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IHAB AZIZ
  • NPI Number: 1184209769
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2230847
LAB Type Ambulatory Surgery Center
Facility Name GRACE SURGERY CENTER
Street 23911 CALGROVE BLVD
City SANTA CLARITA
State CA
ZIP 91321
Phone 818 401-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Ambulatory Surgery Center
Lab Director IHAB AZIZ

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