05D2180673 CLIA NUMBER - HIGH DESERT EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2180673
  • Facility Name: HIGH DESERT EYE SURGERY CENTER
  • Facility Address: 16030 KAMANA ROAD
    APPLE VALLEY, CA
    ZIP 92307
  • Facility Phone: 760 861-2216
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MOHAN S CHANDRA
  • NPI Number: 1588203988
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2180673
LAB Type Ambulatory Surgery Center
Facility Name HIGH DESERT EYE SURGERY CENTER
Street 16030 KAMANA ROAD
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 861-2216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director MOHAN S CHANDRA

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