05D0919937 CLIA NUMBER - PENINSULA ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D0919937
  • Facility Name: PENINSULA ENDOSCOPY CENTER LLC
  • Facility Address: 1720 EL CAMINO REAL STE 100
    BURLINGAME, CA
    ZIP 94010
  • Facility Phone: 650 727-7798
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANNE THAI
  • NPI Number: 1548583651
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0919937
LAB Type Ambulatory Surgery Center
Facility Name PENINSULA ENDOSCOPY CENTER LLC
Street 1720 EL CAMINO REAL STE 100
City BURLINGAME
State CA
ZIP 94010
Phone 650 727-7798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANNE THAI

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