05D1085239 CLIA NUMBER - NORTH BAY REGIONAL SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 05D1085239

Facility Name: NORTH BAY REGIONAL SURGERY CENTER, LLC

Facility Address:
100 ROWLAND WAY, SUITE 145
NOVATO, CA
ZIP 94945
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Facility Phone Number: 415 209-2510

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1427683481

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1085239
LAB Type	Ambulatory Surgery Center
Facility Name	NORTH BAY REGIONAL SURGERY CENTER, LLC
Street	100 ROWLAND WAY, SUITE 145
City	NOVATO
State	CA
ZIP	94945
Phone	415 209-2510
CertificateType	4
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024