05D1017466 CLIA NUMBER - CHICO SURGICAL AFFILIATES

Laboratory Demographics

  • CLIA Code: 05D1017466
  • Facility Name: CHICO SURGICAL AFFILIATES
  • Facility Address: 615 W EAST AVE
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 487-8114
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL S. THOMAS
  • NPI Number: 1164421004
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1017466
LAB Type Ambulatory Surgery Center
Facility Name CHICO SURGICAL AFFILIATES
Street 615 W EAST AVE
City CHICO
State CA
ZIP 95926
Phone 530 487-8114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulatory Surgery Center
Lab Director DANIEL S. THOMAS

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