05D1073814 CLIA NUMBER - NORTH ORANGE COUNTY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1073814
  • Facility Name: NORTH ORANGE COUNTY SURGERY CENTER
  • Facility Address: 1741 W ROMNEYA DR SUITE F
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 772-2891
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SYAM P. GADDAM MD
  • NPI Number: 1962695122
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulatory Surgery Center
Lab Director SYAM P. GADDAM MD

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