05D0707232 CLIA NUMBER - VALENCIA SURGICAL CENTER

Laboratory Demographics

CLIA Number: 05D0707232

Facility Name: VALENCIA SURGICAL CENTER

Facility Address:
24355 LYONS AVE SUITE 120
NEWHALL, CA
ZIP 91321
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Facility Phone Number: 661 255-6644

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1407869373

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0707232
LAB Type	Ambulatory Surgery Center
Facility Name	VALENCIA SURGICAL CENTER
Street	24355 LYONS AVE SUITE 120
City	NEWHALL
State	CA
ZIP	91321
Phone	661 255-6644
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024