05D0568256 CLIA NUMBER - NORTH COAST SURGERY CENTER, LTD

Laboratory Demographics

  • CLIA Code: 05D0568256
  • Facility Name: NORTH COAST SURGERY CENTER, LTD
  • Facility Address: 3903 WARING RD
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 940-0997
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT B. PENDLETON
  • NPI Number: 1235195033
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0568256
LAB Type Ambulatory Surgery Center
Facility Name NORTH COAST SURGERY CENTER, LTD
Street 3903 WARING RD
City OCEANSIDE
State CA
ZIP 92056
Phone 760 940-0997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT B. PENDLETON

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