05D2235140 CLIA NUMBER - NOVA SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2235140
  • Facility Name: NOVA SURGICAL INSTITUTE
  • Facility Address: 10610 LOWER AZUSA RD SUITE 1
    EL MONTE, CA
    ZIP 91731
  • Facility Phone: 818 884-5480
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VIKRAM SINGH
  • NPI Number: 1699170332
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2235140
LAB Type Ambulatory Surgery Center
Facility Name NOVA SURGICAL INSTITUTE
Street 10610 LOWER AZUSA RD SUITE 1
City EL MONTE
State CA
ZIP 91731
Phone 818 884-5480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Ambulatory Surgery Center
Lab Director VIKRAM SINGH

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