05D0999916 CLIA NUMBER - DANIEL BURNHAM COURT SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 05D0999916

Facility Name: DANIEL BURNHAM COURT SURGERY CENTER, LLC

Facility Address:
ONE DANIEL BURNHAM COURT SUITE 368C
SAN FRANCISCO, CA
ZIP 94109
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Facility Phone Number: 415 441-1888

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1194057422

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0999916
LAB Type	Ambulatory Surgery Center
Facility Name	DANIEL BURNHAM COURT SURGERY CENTER, LLC
Street	ONE DANIEL BURNHAM COURT SUITE 368C
City	SAN FRANCISCO
State	CA
ZIP	94109
Phone	415 441-1888
CertificateType	4
CertificateEffectiveDate	5/28/2022
CertificateExpirationDate	5/27/2024
FacilityType	Waiver

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