05D2155097 CLIA NUMBER - CENTRAL COAST CARDIOVASCULAR ASC LLC

Laboratory Demographics

CLIA Number: 05D2155097

Facility Name: CENTRAL COAST CARDIOVASCULAR ASC LLC

Facility Address:
2000 OUTLET CENTER DRIVE SUITE 225
OXNARD, CA
ZIP 93036
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Facility Phone Number: (805) 643-3330

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1891855193

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	05D2155097
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	CENTRAL COAST CARDIOVASCULAR ASC LLC
Street	2000 OUTLET CENTER DRIVE SUITE 225
City	OXNARD
State	CA
ZIP	93036
Phone	(805) 643-3330

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This page was last updated on: 5/11/2023