05D0923127 CLIA NUMBER - ARTHROSCOPIC & LASER SRG CTR OF SAN DIEGO, LP DBA OASIS SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D0923127

Facility Name: ARTHROSCOPIC & LASER SRG CTR OF SAN DIEGO, LP DBA OASIS SURGERY CENTER

Facility Address:
5471 KEARNY VILLA ROAD, SUITE 100
SAN DIEGO, CA
ZIP 92123
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Facility Phone Number: 858 560-4567

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1548226442

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0923127
LAB Type	Ambulatory Surgery Center
Facility Name	ARTHROSCOPIC & LASER SRG CTR OF SAN DIEGO, LP DBA OASIS SURGERY CENTER
Street	5471 KEARNY VILLA ROAD, SUITE 100
City	SAN DIEGO
State	CA
ZIP	92123
Phone	858 560-4567
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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