05D1051884 CLIA NUMBER - SYLVAN SURGERY CANTER INC

Laboratory Demographics

  • CLIA Code: 05D1051884
  • Facility Name: SYLVAN SURGERY CANTER INC
  • Facility Address: 2336 SYLVAN AVE STE B
    MODESTO, CA
    ZIP 95355
  • Facility Phone: 209 338-0393
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAGDY S. ELSAKR
  • NPI Number: 1801822739
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1051884
LAB Type Ambulatory Surgery Center
Facility Name SYLVAN SURGERY CANTER INC
Street 2336 SYLVAN AVE STE B
City MODESTO
State CA
ZIP 95355
Phone 209 338-0393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Ambulatory Surgery Center
Lab Director MAGDY S. ELSAKR

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