05D2065018 CLIA NUMBER - DIABLO PLAZA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2065018
  • Facility Name: DIABLO PLAZA SURGERY CENTER
  • Facility Address: 222 EAST ST STE 290
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 925 689-2580
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN F. DEGNAN
  • NPI Number: 1851739866
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2065018
LAB Type Ambulatory Surgery Center
Facility Name DIABLO PLAZA SURGERY CENTER
Street 222 EAST ST STE 290
City CONCORD
State CA
ZIP 94520
Phone 925 689-2580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Ambulatory Surgery Center
Lab Director KEVIN F. DEGNAN

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