05D1019945 CLIA NUMBER - PACIFIC ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 05D1019945
  • Facility Name: PACIFIC ENDOSCOPY LLC
  • Facility Address: 3351 EL CAMINO REAL SUITE 220
    ATHERTON, CA
    ZIP 94027
  • Facility Phone: 650 363-2800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES TOROSIS
  • NPI Number: 1366515306
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019945
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC ENDOSCOPY LLC
Street 3351 EL CAMINO REAL SUITE 220
City ATHERTON
State CA
ZIP 94027
Phone 650 363-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Ambulatory Surgery Center
Lab Director JAMES TOROSIS

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