05D2137484 CLIA NUMBER - ADVANCED SURGERY CENTER-FOREST CAMPUS

Laboratory Demographics

  • CLIA Code: 05D2137484
  • Facility Name: ADVANCED SURGERY CENTER-FOREST CAMPUS
  • Facility Address: 2039 FOREST AVE STE 101
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 550-8850
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANNY LUONG
  • NPI Number: 1255420329
  • Taxonomy: 246ZE0600X - Specialist/Technologist, Other

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2137484
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER-FOREST CAMPUS
Street 2039 FOREST AVE STE 101
City SAN JOSE
State CA
ZIP 95128
Phone 408 550-8850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DANNY LUONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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