05D2029279 CLIA NUMBER - APPLE VALLEY OUTPATIENT SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2029279
  • Facility Name: APPLE VALLEY OUTPATIENT SURGICAL CENTER
  • Facility Address: 18400 HIGHWAY 18 STE B
    APPLE VALLEY, CA
    ZIP 92307
  • Facility Phone: 760 242-3939
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VODUR C. REDDY
  • NPI Number: 1881108546
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2029279
LAB Type Ambulatory Surgery Center
Facility Name APPLE VALLEY OUTPATIENT SURGICAL CENTER
Street 18400 HIGHWAY 18 STE B
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 242-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Ambulatory Surgery Center
Lab Director VODUR C. REDDY

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