05D0996141 CLIA NUMBER - FOLSOM OUTPATIENT SURGERY CENTER LP

Laboratory Demographics

  • CLIA Code: 05D0996141
  • Facility Name: FOLSOM OUTPATIENT SURGERY CENTER LP
  • Facility Address: 1651 CREEKSIDE DRIVE SUITE 100
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 673-1990
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GUY GUILFOY MD
  • NPI Number: 1942278692
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0996141
LAB Type Ambulatory Surgery Center
Facility Name FOLSOM OUTPATIENT SURGERY CENTER LP
Street 1651 CREEKSIDE DRIVE SUITE 100
City FOLSOM
State CA
ZIP 95630
Phone 916 673-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Ambulatory Surgery Center
Lab Director GUY GUILFOY MD

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This page was last updated on: 3/20/2025