05D2155097 CLIA NUMBER - CENTRAL COAST CARDIOVASCULAR ASC LLC DBA WEST COAST SURGICAL CEN

Laboratory Demographics

  • CLIA Code: 05D2155097
  • Facility Name: CENTRAL COAST CARDIOVASCULAR ASC LLC DBA WEST COAST SURGICAL CEN
  • Facility Address: 2000 OUTLET CENTER DRIVE SUITE 225
    OXNARD, CA
    ZIP 93036
  • Facility Phone: 805 643-3330
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAWN C. SKILLERN
  • NPI Number: 1891855193
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2155097
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL COAST CARDIOVASCULAR ASC LLC DBA WEST COAST SURGICAL CEN
Street 2000 OUTLET CENTER DRIVE SUITE 225
City OXNARD
State CA
ZIP 93036
Phone 805 643-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulatory Surgery Center
Lab Director SHAWN C. SKILLERN

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