05D2029379 CLIA NUMBER - STEVENSON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2029379
  • Facility Name: STEVENSON SURGERY CENTER
  • Facility Address: 2675 STEVENSON BLVD 2ND FLOOR
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 791-5200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LEWIS S. MARGOLIS
  • NPI Number: 1548551377
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2029379
LAB Type Ambulatory Surgery Center
Facility Name STEVENSON SURGERY CENTER
Street 2675 STEVENSON BLVD 2ND FLOOR
City FREMONT
State CA
ZIP 94538
Phone 510 791-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Ambulatory Surgery Center
Lab Director LEWIS S. MARGOLIS

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