05D0885644 CLIA NUMBER - CHANNEL ISLANDS SURGICENTER

Laboratory Demographics

  • CLIA Code: 05D0885644
  • Facility Name: CHANNEL ISLANDS SURGICENTER
  • Facility Address: 2300 WANKEL WAY
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 485-1908
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VANCE KALCIC
  • NPI Number: 1144287665
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0885644
LAB Type Ambulatory Surgery Center
Facility Name CHANNEL ISLANDS SURGICENTER
Street 2300 WANKEL WAY
City OXNARD
State CA
ZIP 93030
Phone 805 485-1908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Ambulatory Surgery Center
Lab Director VANCE KALCIC

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