05D2121494 CLIA NUMBER - ADVANCED SURGICARE

Laboratory Demographics

  • CLIA Code: 05D2121494
  • Facility Name: ADVANCED SURGICARE
  • Facility Address: 2222 LAFAYETTE ST
    SANTA CLARA, CA
    ZIP 95050
  • Facility Phone: 408 988-0105
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NANG NGUYEN
  • NPI Number: 1548617301
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2121494
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICARE
Street 2222 LAFAYETTE ST
City SANTA CLARA
State CA
ZIP 95050
Phone 408 988-0105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Ambulatory Surgery Center
Lab Director NANG NGUYEN

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