05D1075859 CLIA NUMBER - MONTEREY PENINSULA SURGERY CENTER RYAN RANCH

Laboratory Demographics

  • CLIA Code: 05D1075859
  • Facility Name: MONTEREY PENINSULA SURGERY CENTER RYAN RANCH
  • Facility Address: 2 UPPER RAGSDALE DR, BLDG B SUITE B160
    MONTEREY, CA
    ZIP 93940
  • Facility Phone: 831 372-2169
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID AWERBUCK
  • NPI Number: 1104850312
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1075859
LAB Type Ambulatory Surgery Center
Facility Name MONTEREY PENINSULA SURGERY CENTER RYAN RANCH
Street 2 UPPER RAGSDALE DR, BLDG B SUITE B160
City MONTEREY
State CA
ZIP 93940
Phone 831 372-2169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulatory Surgery Center
Lab Director DAVID AWERBUCK

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