05D0695825 CLIA NUMBER - GREATER SACRAMENTO SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D0695825

Facility Name: GREATER SACRAMENTO SURGERY CENTER

Facility Address:
2288 AUBURN BLVD STE 201
SACRAMENTO, CA
ZIP 95821
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Facility Phone Number: 916 929-7229

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1952439929

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0695825
LAB Type	Ambulatory Surgery Center
Facility Name	GREATER SACRAMENTO SURGERY CENTER
Street	2288 AUBURN BLVD STE 201
City	SACRAMENTO
State	CA
ZIP	95821
Phone	916 929-7229
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024