05D1005357 CLIA NUMBER - OAKS SURGERY CENTER,THE

Laboratory Demographics

CLIA Number: 05D1005357

Facility Name: OAKS SURGERY CENTER,THE

Facility Address:
40740 CALIFORNIA OAKS RD
MURRIETA, CA
ZIP 92562
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Facility Phone Number: 909 304-2200

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1922104710

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1005357
LAB Type	Ambulatory Surgery Center
Facility Name	OAKS SURGERY CENTER,THE
Street	40740 CALIFORNIA OAKS RD
City	MURRIETA
State	CA
ZIP	92562
Phone	909 304-2200
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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