05D2077736 CLIA NUMBER - MOUNTAIN VIEW ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D2077736
  • Facility Name: MOUNTAIN VIEW ENDOSCOPY CENTER
  • Facility Address: 2490 HOSPITAL DR STE 211
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 988-7488
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMUEL MARCUS, MD
  • NPI Number: 1275546434
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2077736
LAB Type Ambulatory Surgery Center
Facility Name MOUNTAIN VIEW ENDOSCOPY CENTER
Street 2490 HOSPITAL DR STE 211
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 988-7488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Ambulatory Surgery Center
Lab Director SAMUEL MARCUS, MD

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