05D2089586 CLIA NUMBER - ROLLING OAKS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2089586
  • Facility Name: ROLLING OAKS SURGERY CENTER
  • Facility Address: 415 E ROLLING OAKS DR STE 115
    THOUSAND OAKS, CA
    ZIP 91361
  • Facility Phone: 805 373-7073
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KOUROS AZAR
  • NPI Number: 1003216276
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2089586
LAB Type Ambulatory Surgery Center
Facility Name ROLLING OAKS SURGERY CENTER
Street 415 E ROLLING OAKS DR STE 115
City THOUSAND OAKS
State CA
ZIP 91361
Phone 805 373-7073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Ambulatory Surgery Center
Lab Director KOUROS AZAR

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