05D2005044 CLIA NUMBER - ENVISION SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2005044
  • Facility Name: ENVISION SURGERY CENTER, LLC
  • Facility Address: 42442 10TH AVENUE WEST SUITE G
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 726-5329
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IRA E. OPATOWSKY
  • NPI Number: 1467786889
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2005044
LAB Type Ambulatory Surgery Center
Facility Name ENVISION SURGERY CENTER, LLC
Street 42442 10TH AVENUE WEST SUITE G
City LANCASTER
State CA
ZIP 93534
Phone 661 726-5329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director IRA E. OPATOWSKY

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