05D2273961 CLIA NUMBER - OCVAC-ASC, LLC

Laboratory Demographics

  • CLIA Code: 05D2273961
  • Facility Name: OCVAC-ASC, LLC
  • Facility Address: 12827 HARBOR BLVD SUITE G-1
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 543-1679
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MASSOUD ARBADZADEH
  • NPI Number: 1275129181
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2273961
LAB Type Ambulatory Surgery Center
Facility Name OCVAC-ASC, LLC
Street 12827 HARBOR BLVD SUITE G-1
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 543-1679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Ambulatory Surgery Center
Lab Director MASSOUD ARBADZADEH

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