05D2306819 CLIA NUMBER - LOS ALTOS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2306819
  • Facility Name: LOS ALTOS SURGERY CENTER LLC
  • Facility Address: 14642 NEWPORT AVE STE 100
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 408 761-5847
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAN Z. MUHTAR
  • NPI Number: 1427166990
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2306819
LAB Type Ambulatory Surgery Center
Facility Name LOS ALTOS SURGERY CENTER LLC
Street 14642 NEWPORT AVE STE 100
City TUSTIN
State CA
ZIP 92780
Phone 408 761-5847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Ambulatory Surgery Center
Lab Director DAN Z. MUHTAR

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