05D1047197 CLIA NUMBER - SAMARITAN ENDOSCOPY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D1047197
  • Facility Name: SAMARITAN ENDOSCOPY CENTER INC
  • Facility Address: 15195 NATIONAL AVE, SUITE 204
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 707 938-9685
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BASSAM G. SAFFOURI
  • NPI Number: 1447352737
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1047197
LAB Type Ambulatory Surgery Center
Facility Name SAMARITAN ENDOSCOPY CENTER INC
Street 15195 NATIONAL AVE, SUITE 204
City LOS GATOS
State CA
ZIP 95032
Phone 707 938-9685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Ambulatory Surgery Center
Lab Director BASSAM G. SAFFOURI

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