05D2018291 CLIA NUMBER - EYE, FACE & BODY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2018291
  • Facility Name: EYE, FACE & BODY SURGERY CENTER, LLC
  • Facility Address: 4906 ELCAMINO REAL STE C
    LOS ALTOS, CA
    ZIP 94022
  • Facility Phone: 650 967-7834
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BARRY YP FUNG
  • NPI Number: 1083922066
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2018291
LAB Type Ambulatory Surgery Center
Facility Name EYE, FACE & BODY SURGERY CENTER, LLC
Street 4906 ELCAMINO REAL STE C
City LOS ALTOS
State CA
ZIP 94022
Phone 650 967-7834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Ambulatory Surgery Center
Lab Director BARRY YP FUNG

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