05D2013940 CLIA NUMBER - ODYSSEY ASC ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D2013940
  • Facility Name: ODYSSEY ASC ENDOSCOPY CENTER
  • Facility Address: 22 ODYSSEY STE 175
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 654-8963
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JUN ICHI OHARA
  • NPI Number: 1093037020
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2013940
LAB Type Ambulatory Surgery Center
Facility Name ODYSSEY ASC ENDOSCOPY CENTER
Street 22 ODYSSEY STE 175
City IRVINE
State CA
ZIP 92618
Phone 949 654-8963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Ambulatory Surgery Center
Lab Director JUN ICHI OHARA

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