05D2035289 CLIA NUMBER - PLASTIC & RECONSTRUCTIVE SURGERY CTR

Home > CLIA Lookup > 05D2035289

Laboratory Demographics

CLIA Number: 05D2035289

Facility Name: PLASTIC & RECONSTRUCTIVE SURGERY CTR

Facility Address:
1387 SANTA RITA ROAD
PLEASANTON, CA
ZIP 94566
Get Directions

Facility Phone Number: 925 462-3700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1043249972

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2035289
LAB Type	Ambulatory Surgery Center
Facility Name	PLASTIC & RECONSTRUCTIVE SURGERY CTR
Street	1387 SANTA RITA ROAD
City	PLEASANTON
State	CA
ZIP	94566
Phone	925 462-3700
CertificateType	4
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024