05D1005226 CLIA NUMBER - CENTRAL COAST SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1005226
  • Facility Name: CENTRAL COAST SURGERY CENTER
  • Facility Address: 160 GREEN VALLEY ROAD SUITE 100
    FREEDOM, CA
    ZIP 95019
  • Facility Phone: 831 763-9700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL A. SPILMAN
  • NPI Number: 1790799047
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1005226
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL COAST SURGERY CENTER
Street 160 GREEN VALLEY ROAD SUITE 100
City FREEDOM
State CA
ZIP 95019
Phone 831 763-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director DANIEL A. SPILMAN

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