05D1055387 CLIA NUMBER - ADVANCED SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1055387
  • Facility Name: ADVANCED SURGERY CENTER
  • Facility Address: 235 O'CONNOR DRIVE
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 279-0791
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HUY N. TRINH
  • NPI Number: 1508942996
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1055387
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER
Street 235 O'CONNOR DRIVE
City SAN JOSE
State CA
ZIP 95128
Phone 408 279-0791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director HUY N. TRINH

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This page was last updated on: 6/4/2025