05D1074965 CLIA NUMBER - ORANGEWOOD SURGICAL CENTER

Laboratory Demographics

CLIA Number: 05D1074965

Facility Name: ORANGEWOOD SURGICAL CENTER

Facility Address:
2143 ORANGEWOOD AVE
ORANGE, CA
ZIP 92868
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Facility Phone Number: 714 221-4236

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1326223298

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1074965
LAB Type	Ambulatory Surgery Center
Facility Name	ORANGEWOOD SURGICAL CENTER
Street	2143 ORANGEWOOD AVE
City	ORANGE
State	CA
ZIP	92868
Phone	714 221-4236
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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