05D2005313 CLIA NUMBER - OAK TREE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2005313
  • Facility Name: OAK TREE SURGERY CENTER LLC
  • Facility Address: 2230 LYNN ROAD
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 371-8400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAHRAM DANESHGAR
  • NPI Number: 1831428861
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2005313
LAB Type Ambulatory Surgery Center
Facility Name OAK TREE SURGERY CENTER LLC
Street 2230 LYNN ROAD
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 371-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Ambulatory Surgery Center
Lab Director SHAHRAM DANESHGAR

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