05D2091236 CLIA NUMBER - CAMPBELL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2091236
  • Facility Name: CAMPBELL SURGERY CENTER
  • Facility Address: 3425 S BASCOM AVE STE 100
    CAMPBELL, CA
    ZIP 95008
  • Facility Phone: 408 371-1118
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DARYL K. HOFFMAN
  • NPI Number: 1659820702
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2091236
LAB Type Ambulatory Surgery Center
Facility Name CAMPBELL SURGERY CENTER
Street 3425 S BASCOM AVE STE 100
City CAMPBELL
State CA
ZIP 95008
Phone 408 371-1118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Ambulatory Surgery Center
Lab Director DARYL K. HOFFMAN

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