05D2065026 CLIA NUMBER - VIP SURGICARE CENTER

Laboratory Demographics

  • CLIA Code: 05D2065026
  • Facility Name: VIP SURGICARE CENTER
  • Facility Address: 15047 LOS GATOS BLVD STE 150
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 358-7001
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. KANEL
  • NPI Number: 1053612853
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2065026
LAB Type Ambulatory Surgery Center
Facility Name VIP SURGICARE CENTER
Street 15047 LOS GATOS BLVD STE 150
City LOS GATOS
State CA
ZIP 95032
Phone 408 358-7001
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 JEFFREY S. KANEL

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