05D2003386 CLIA NUMBER - VISTA SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2003386
  • Facility Name: VISTA SURGERY CENTER, LLC
  • Facility Address: 450 SUTTER ST STE 2632
    SAN FRANCISCO, CA
    ZIP 94108
  • Facility Phone: 415 395-9021
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT MOSSER
  • NPI Number: 1134385701
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2003386
LAB Type Ambulatory Surgery Center
Facility Name VISTA SURGERY CENTER, LLC
Street 450 SUTTER ST STE 2632
City SAN FRANCISCO
State CA
ZIP 94108
Phone 415 395-9021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SCOTT MOSSER

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