05D0985877 CLIA NUMBER - STOCKTON OUTPATIENT SURGERY CENTER DBA AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0985877
  • Facility Name: STOCKTON OUTPATIENT SURGERY CENTER DBA AMBULATORY SURGERY CENTER
  • Facility Address: 2388 N CALIFORNIA ST
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 944-9100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY M. ALEGRE
  • NPI Number: 1669743274
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0985877
LAB Type Ambulatory Surgery Center
Facility Name STOCKTON OUTPATIENT SURGERY CENTER DBA AMBULATORY SURGERY CENTER
Street 2388 N CALIFORNIA ST
City STOCKTON
State CA
ZIP 95204
Phone 209 944-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Ambulatory Surgery Center
Lab Director GARY M. ALEGRE

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