05D1001420 CLIA NUMBER - PACIFIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1001420
  • Facility Name: PACIFIC SURGERY CENTER
  • Facility Address: 3998 VISTA WY STE C106
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 941-2600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. NATHAN PERRIZO
  • NPI Number: 1699863258
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1001420
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC SURGERY CENTER
Street 3998 VISTA WY STE C106
City OCEANSIDE
State CA
ZIP 92056
Phone 760 941-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. NATHAN PERRIZO

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