05D2308573 CLIA NUMBER - PREMIER SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2308573
  • Facility Name: PREMIER SURGERY CENTER LLC
  • Facility Address: 7801 CENTER AVE #102
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 818 855-1507
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHISH SHAH
  • NPI Number: 1447926472
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2308573
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGERY CENTER LLC
Street 7801 CENTER AVE #102
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 818 855-1507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Ambulatory Surgery Center
Lab Director ASHISH SHAH

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