05D2246484 CLIA NUMBER - PEGASUS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2246484
  • Facility Name: PEGASUS SURGERY CENTER LLC
  • Facility Address: 20162 SW BIRCH ST STE 100
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 661 965-5020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DEVIN K. BINDER
  • NPI Number: 1366044596
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2246484
LAB Type Ambulatory Surgery Center
Facility Name PEGASUS SURGERY CENTER LLC
Street 20162 SW BIRCH ST STE 100
City NEWPORT BEACH
State CA
ZIP 92660
Phone 661 965-5020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Ambulatory Surgery Center
Lab Director DEVIN K. BINDER

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