05D2314099 CLIA NUMBER - OASIS TREATMENT CENTERS LLC

Laboratory Demographics

  • CLIA Code: 05D2314099
  • Facility Name: OASIS TREATMENT CENTERS LLC
  • Facility Address: 1901 NEWPORT BLVD SUITE 280
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 281 210-6703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAI M. THANKACHEN
  • NPI Number: 1144097981
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2314099
LAB Type Physician Office
Facility Name OASIS TREATMENT CENTERS LLC
Street 1901 NEWPORT BLVD SUITE 280
City COSTA MESA
State CA
ZIP 92627
Phone 281 210-6703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director SANJAI M. THANKACHEN

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