05D0880107 CLIA NUMBER - UNITED SURGERY CENTER ORANGE, LLC

Laboratory Demographics

CLIA Number: 05D0880107

Facility Name: UNITED SURGERY CENTER ORANGE, LLC

Facility Address:
1140 W LAVETA AVE SUITE 550
ORANGE, CA
ZIP 92668
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Facility Phone Number: 714 835-3636

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1861907107

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0880107
LAB Type	Ambulatory Surgery Center
Facility Name	UNITED SURGERY CENTER ORANGE, LLC
Street	1140 W LAVETA AVE SUITE 550
City	ORANGE
State	CA
ZIP	92668
Phone	714 835-3636
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

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