05D2315145 CLIA NUMBER - ARCADIA LIVE OAK SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2315145
  • Facility Name: ARCADIA LIVE OAK SURGERY CENTER INC
  • Facility Address: 80 W LIVE OAK AVE
    ARCADIA, CA
    ZIP 91007
  • Facility Phone: 626 461-5408
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONALD PORTOCARRERO
  • NPI Number: 1841013992
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2315145
LAB Type Ambulatory Surgery Center
Facility Name ARCADIA LIVE OAK SURGERY CENTER INC
Street 80 W LIVE OAK AVE
City ARCADIA
State CA
ZIP 91007
Phone 626 461-5408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Ambulatory Surgery Center
Lab Director DONALD PORTOCARRERO

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