05D2163039 CLIA NUMBER - SURGICAL OASIS INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2163039
  • Facility Name: SURGICAL OASIS INSTITUTE
  • Facility Address: 496 OLD NEWPORT BOULEVARD, SUITE 2
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 646-8444
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW S. IRANIHA
  • NPI Number: 1205490448
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2163039
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL OASIS INSTITUTE
Street 496 OLD NEWPORT BOULEVARD, SUITE 2
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 646-8444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Ambulatory Surgery Center
Lab Director ANDREW S. IRANIHA

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