05D0996513 CLIA NUMBER - SAXON SURGICAL CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0996513
  • Facility Name: SAXON SURGICAL CENTER INC
  • Facility Address: 430 E AVENIDA DE ARBOLES, STE 101
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 241-0151
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAMYAR ASSIL
  • NPI Number: 1447215850
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0996513
LAB Type Ambulatory Surgery Center
Facility Name SAXON SURGICAL CENTER INC
Street 430 E AVENIDA DE ARBOLES, STE 101
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 241-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Ambulatory Surgery Center
Lab Director KAMYAR ASSIL

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