05D2292568 CLIA NUMBER - SKYLINE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2292568
  • Facility Name: SKYLINE SURGERY CENTER LLC
  • Facility Address: 25425 ORCHARD VILLAGE RD STE 280A
    VALENCIA, CA
    ZIP 91355
  • Facility Phone: 661 480-2377
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARSON TYLER
  • NPI Number: 1366140881
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2292568
LAB Type Ambulatory Surgery Center
Facility Name SKYLINE SURGERY CENTER LLC
Street 25425 ORCHARD VILLAGE RD STE 280A
City VALENCIA
State CA
ZIP 91355
Phone 661 480-2377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Ambulatory Surgery Center
Lab Director CARSON TYLER

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