05D2046008 CLIA NUMBER - AK SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2046008
  • Facility Name: AK SURGERY CENTER LLC
  • Facility Address: 13690 E 14TH ST #200
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 510 297-0550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW J. STEIN
  • NPI Number: 1962556076
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2046008
LAB Type Ambulatory Surgery Center
Facility Name AK SURGERY CENTER LLC
Street 13690 E 14TH ST #200
City SAN LEANDRO
State CA
ZIP 94578
Phone 510 297-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Ambulatory Surgery Center
Lab Director ANDREW J. STEIN

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