05D1073814 CLIA NUMBER - NORTH ORANGE COUNTY SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D1073814

Facility Name: NORTH ORANGE COUNTY SURGERY CENTER

Facility Address:
1741 W ROMNEYA DR SUITE F
ANAHEIM, CA
ZIP 92801
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Facility Phone Number: 714 772-2891

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1962695122

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1073814
LAB Type	Ambulatory Surgery Center
Facility Name	NORTH ORANGE COUNTY SURGERY CENTER
Street	1741 W ROMNEYA DR SUITE F
City	ANAHEIM
State	CA
ZIP	92801
Phone	714 772-2891
CertificateType	4
CertificateEffectiveDate	9/17/2023
CertificateExpirationDate	9/16/2025
FacilityType	Waiver

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