05D2291625 CLIA NUMBER - SUPERIOR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2291625
  • Facility Name: SUPERIOR SURGERY CENTER
  • Facility Address: 1501 SUPERIOR AVE, SUITE 301
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 642-7600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MELISSA SMITH
  • NPI Number: 1073155578
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2291625
LAB Type Ambulatory Surgery Center
Facility Name SUPERIOR SURGERY CENTER
Street 1501 SUPERIOR AVE, SUITE 301
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 642-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Ambulatory Surgery Center
Lab Director MELISSA SMITH

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