05D1066128 CLIA NUMBER - OASIS SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D1066128

Facility Name: OASIS SURGERY CENTER

Facility Address:
815 AUTO CENTER DRIVE
PALMDALE, CA
ZIP 93551
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Facility Phone Number: 661 206-6262

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1255429700

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1066128
LAB Type	Ambulatory Surgery Center
Facility Name	OASIS SURGERY CENTER
Street	815 AUTO CENTER DRIVE
City	PALMDALE
State	CA
ZIP	93551
Phone	661 206-6262
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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