05D2321546 CLIA NUMBER - PROSURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2321546
  • Facility Name: PROSURGICAL CENTER LLC
  • Facility Address: 246 W COLLEGE ST STE 200
    COVINA, CA
    ZIP 91723
  • Facility Phone: 310 906-2270
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL LALEZARIAN
  • NPI Number: 1578387825
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2321546
LAB Type Ambulatory Surgery Center
Facility Name PROSURGICAL CENTER LLC
Street 246 W COLLEGE ST STE 200
City COVINA
State CA
ZIP 91723
Phone 310 906-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL LALEZARIAN

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