05D2110332 CLIA NUMBER - MISSION SURGERY CENTER, INC.

Laboratory Demographics

  • CLIA Code: 05D2110332
  • Facility Name: MISSION SURGERY CENTER, INC.
  • Facility Address: 38437 MISSION BLVD STE 102
    FREMONT, CA
    ZIP 94536
  • Facility Phone: 510 818-9237
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TULSIDAS R. GWALANI
  • NPI Number: 1255793758
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2110332
LAB Type Ambulatory Surgery Center
Facility Name MISSION SURGERY CENTER, INC.
Street 38437 MISSION BLVD STE 102
City FREMONT
State CA
ZIP 94536
Phone 510 818-9237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Ambulatory Surgery Center
Lab Director TULSIDAS R. GWALANI

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