05D0643999 CLIA NUMBER - ARTEL, LLC DBA LODI OUTPATIENT SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0643999
  • Facility Name: ARTEL, LLC DBA LODI OUTPATIENT SURGICAL CENTER
  • Facility Address: 521 S HAM LN SUITE F
    LODI, CA
    ZIP 95242
  • Facility Phone: 209 333-0905
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AUBREY PAYNE MD
  • NPI Number: 1093771073
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0643999
LAB Type Ambulatory Surgery Center
Facility Name ARTEL, LLC DBA LODI OUTPATIENT SURGICAL CENTER
Street 521 S HAM LN SUITE F
City LODI
State CA
ZIP 95242
Phone 209 333-0905
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 AUBREY PAYNE MD

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