05D1032654 CLIA NUMBER - LYNN EYE SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 05D1032654
  • Facility Name: LYNN EYE SURGERY, LLC
  • Facility Address: 2230 LYNN ROAD #106
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 949 996-5795
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOEL M. CORWIN
  • NPI Number: 1255472841
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1032654
LAB Type Ambulatory Surgery Center
Facility Name LYNN EYE SURGERY, LLC
Street 2230 LYNN ROAD #106
City THOUSAND OAKS
State CA
ZIP 91360
Phone 949 996-5795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JOEL M. CORWIN

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