05D1068137 CLIA NUMBER - PENINSULA PROCEDURE CENTER, LP

Laboratory Demographics

  • CLIA Code: 05D1068137
  • Facility Name: PENINSULA PROCEDURE CENTER, LP
  • Facility Address: 369 MAIN STREET, SUITE 100
    REDWOOD CITY, CA
    ZIP 94063
  • Facility Phone: 650 366-6400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY A. SAAL
  • NPI Number: 1538293360
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1068137
LAB Type Ambulatory Surgery Center
Facility Name PENINSULA PROCEDURE CENTER, LP
Street 369 MAIN STREET, SUITE 100
City REDWOOD CITY
State CA
ZIP 94063
Phone 650 366-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY A. SAAL

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