05D1106079 CLIA NUMBER - ASPEN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1106079
  • Facility Name: ASPEN SURGERY CENTER
  • Facility Address: 2750 SYCAMORE DR STE 101
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 924-7300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGG P. HARTMAN
  • NPI Number: 1992788384
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1106079
LAB Type Ambulatory Surgery Center
Facility Name ASPEN SURGERY CENTER
Street 2750 SYCAMORE DR STE 101
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 924-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Ambulatory Surgery Center
Lab Director GREGG P. HARTMAN

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