05D0912726 CLIA NUMBER - CAMPUS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D0912726
  • Facility Name: CAMPUS SURGERY CENTER, LLC
  • Facility Address: 901 CAMPUS DRIVE, STE 102
    DALY CITY, CA
    ZIP 94015
  • Facility Phone: 650 991-2000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JON W. CHURNIN MD
  • NPI Number: 1063427557
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0912726
LAB Type Ambulatory Surgery Center
Facility Name CAMPUS SURGERY CENTER, LLC
Street 901 CAMPUS DRIVE, STE 102
City DALY CITY
State CA
ZIP 94015
Phone 650 991-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Ambulatory Surgery Center
Lab Director JON W. CHURNIN MD

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