05D0914356 CLIA NUMBER - LA VETA SURGICAL CENTER

Laboratory Demographics

CLIA Number: 05D0914356

Facility Name: LA VETA SURGICAL CENTER

Facility Address:
681 S PARKER ST STE 150
ORANGE, CA
ZIP 92868
Get Directions

Facility Phone Number: 714 744-0900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1619340148

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0914356
LAB Type	Ambulatory Surgery Center
Facility Name	LA VETA SURGICAL CENTER
Street	681 S PARKER ST STE 150
City	ORANGE
State	CA
ZIP	92868
Phone	714 744-0900
CertificateType	4
CertificateEffectiveDate	4/26/2024
CertificateExpirationDate	4/25/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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