05D2225991 CLIA NUMBER - ADVANCE OC SURGICAL

Laboratory Demographics

  • CLIA Code: 05D2225991
  • Facility Name: ADVANCE OC SURGICAL
  • Facility Address: 3500 S BRISTOL ST SUITE 200
    SANTA ANA, CA
    ZIP 92704
  • Facility Phone: 714 577-0777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY ROHAM
  • NPI Number: 1427577907
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2225991
LAB Type Ambulatory Surgery Center
Facility Name ADVANCE OC SURGICAL
Street 3500 S BRISTOL ST SUITE 200
City SANTA ANA
State CA
ZIP 92704
Phone 714 577-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY ROHAM

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