05D0932843 CLIA NUMBER - RANCHO BERNARDO SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D0932843

Facility Name: RANCHO BERNARDO SURGERY CENTER

Facility Address:
17190 BERNARDO CENTER DR #100
SAN DIEGO, CA
ZIP 92128
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Facility Phone Number: 858 675-3270

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1508106477

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	05D0932843
LAB Type	Ambulatory Surgery Center
Facility Name	RANCHO BERNARDO SURGERY CENTER
Street	17190 BERNARDO CENTER DR #100
City	SAN DIEGO
State	CA
ZIP	92128
Phone	858 675-3270
CertificateType	4
CertificateEffectiveDate	8/28/2023
CertificateExpirationDate	8/27/2025
FacilityType	Waiver

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