05D2103883 CLIA NUMBER - TRINITY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2103883
  • Facility Name: TRINITY SURGERY CENTER, LLC
  • Facility Address: 1610 BLOSSOM HILL RD STE 10
    SAN JOSE, CA
    ZIP 95124
  • Facility Phone: 408 528-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES PETROS, MD
  • NPI Number: 1750789814
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2103883
LAB Type Physician Office
Facility Name TRINITY SURGERY CENTER, LLC
Street 1610 BLOSSOM HILL RD STE 10
City SAN JOSE
State CA
ZIP 95124
Phone 408 528-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director JAMES PETROS, MD

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