05D2283077 CLIA NUMBER - SPRUCE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2283077
  • Facility Name: SPRUCE SURGERY CENTER
  • Facility Address: 10888 FOOTHILL BLVD SUITE 190
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 205-0023
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DELLA BENNETT
  • NPI Number: 1457073322
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2283077
LAB Type Ambulatory Surgery Center
Facility Name SPRUCE SURGERY CENTER
Street 10888 FOOTHILL BLVD SUITE 190
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 205-0023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Ambulatory Surgery Center
Lab Director DELLA BENNETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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