05D1013494 CLIA NUMBER - BAY SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D1013494

Facility Name: BAY SURGERY CENTER

Facility Address:
6633 TELEGRAPH AVE SUITE B
OAKLAND, CA
ZIP 94609
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Facility Phone Number: 510 841-2179

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1881765964

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1013494
LAB Type	Ambulatory Surgery Center
Facility Name	BAY SURGERY CENTER
Street	6633 TELEGRAPH AVE SUITE B
City	OAKLAND
State	CA
ZIP	94609
Phone	510 841-2179
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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