05D2034100 CLIA NUMBER - BON AIR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2034100
  • Facility Name: BON AIR SURGERY CENTER
  • Facility Address: 575 SIR FRANCIS DRAKE BLVD STE 3
    GREENBRAE, CA
    ZIP 94904
  • Facility Phone: 415 925-1030
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT AYCOCK
  • NPI Number: 1942585526
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2034100
LAB Type Ambulatory Surgery Center
Facility Name BON AIR SURGERY CENTER
Street 575 SIR FRANCIS DRAKE BLVD STE 3
City GREENBRAE
State CA
ZIP 94904
Phone 415 925-1030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulatory Surgery Center
Lab Director ROBERT AYCOCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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