05D2095231 CLIA NUMBER - SUTTER BAY MEDICAL FOUNDATION SURGERY CENTER FREMONT

Laboratory Demographics

  • CLIA Code: 05D2095231
  • Facility Name: SUTTER BAY MEDICAL FOUNDATION SURGERY CENTER FREMONT
  • Facility Address: 3120 KEARNEY ST
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 650 404-8455
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER T. NOSE
  • NPI Number: 1306241534
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2095231
LAB Type Ambulatory Surgery Center
Facility Name SUTTER BAY MEDICAL FOUNDATION SURGERY CENTER FREMONT
Street 3120 KEARNEY ST
City FREMONT
State CA
ZIP 94538
Phone 650 404-8455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Ambulatory Surgery Center
Lab Director PETER T. NOSE

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