05D1032025 CLIA NUMBER - SUTTER FAIRFIELD SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D1032025
  • Facility Name: SUTTER FAIRFIELD SURGERY CENTER, LLC
  • Facility Address: 2700 LOW COURT, 2ND FLOOR
    FAIRFIELD, CA
    ZIP 94534
  • Facility Phone: 707 432-2710
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DOUGLAS DENNIS
  • NPI Number: 1821092206
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1032025
LAB Type Ambulatory Surgery Center
Facility Name SUTTER FAIRFIELD SURGERY CENTER, LLC
Street 2700 LOW COURT, 2ND FLOOR
City FAIRFIELD
State CA
ZIP 94534
Phone 707 432-2710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Ambulatory Surgery Center
Lab Director DOUGLAS DENNIS

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