05D2190115 CLIA NUMBER - SIMI VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2190115
  • Facility Name: SIMI VALLEY SURGERY CENTER
  • Facility Address: 3605 ALAMO STREET #100
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 567-8900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADEBAMBO OJURI
  • NPI Number: 1134597909
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2190115
LAB Type Ambulatory Surgery Center
Facility Name SIMI VALLEY SURGERY CENTER
Street 3605 ALAMO STREET #100
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 567-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Ambulatory Surgery Center
Lab Director ADEBAMBO OJURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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