05D2179729 CLIA NUMBER - OSO SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2179729
  • Facility Name: OSO SURGERY CENTER LLC
  • Facility Address: 26932 OSO PARKWAY SUITE 277
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 916-8100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HAMID FADVI
  • NPI Number: 1518524552
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2179729
LAB Type Ambulatory Surgery Center
Facility Name OSO SURGERY CENTER LLC
Street 26932 OSO PARKWAY SUITE 277
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 916-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Ambulatory Surgery Center
Lab Director HAMID FADVI

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