05D2177318 CLIA NUMBER - OC SPECIALTY CARE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2177318
  • Facility Name: OC SPECIALTY CARE SURGERY CENTER
  • Facility Address: 1200 WEST TUSTIN AVENUE SUITE 155
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 951 734-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SIAL KHURAM
  • NPI Number: 1922563808
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2177318
LAB Type Ambulatory Surgery Center
Facility Name OC SPECIALTY CARE SURGERY CENTER
Street 1200 WEST TUSTIN AVENUE SUITE 155
City SANTA ANA
State CA
ZIP 92705
Phone 951 734-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Ambulatory Surgery Center
Lab Director SIAL KHURAM

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