05D1027271 CLIA NUMBER - TRUCKEE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1027271
  • Facility Name: TRUCKEE SURGERY CENTER
  • Facility Address: 10770 DONNER PASS RD STE 201
    TRUCKEE, CA
    ZIP 96161
  • Facility Phone: 530 550-2940
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY DODD
  • NPI Number: 1053352443
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1027271
LAB Type Ambulatory Surgery Center
Facility Name TRUCKEE SURGERY CENTER
Street 10770 DONNER PASS RD STE 201
City TRUCKEE
State CA
ZIP 96161
Phone 530 550-2940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY DODD

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