05D2010771 CLIA NUMBER - DELTA BAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2010771
  • Facility Name: DELTA BAY SURGERY CENTER
  • Facility Address: 1208 E 5TH ST SUITE 200
    BENICIA, CA
    ZIP 94510
  • Facility Phone: 707 748-7248
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ARUN ANAND MD
  • NPI Number: 1720300312
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2010771
LAB Type Ambulatory Surgery Center
Facility Name DELTA BAY SURGERY CENTER
Street 1208 E 5TH ST SUITE 200
City BENICIA
State CA
ZIP 94510
Phone 707 748-7248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Ambulatory Surgery Center
Lab Director ARUN ANAND MD

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