05D2144089 CLIA NUMBER - TRI VALLEY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2144089
  • Facility Name: TRI VALLEY SURGERY CENTER, LLC
  • Facility Address: 11860 DUBLIN BLVD.
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 925 999-4049
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN H. WILLIAMS, MD
  • NPI Number: 1104200971
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 05D2144089
LAB Type Ambulatory Surgery Center
Facility Name TRI VALLEY SURGERY CENTER, LLC
Street 11860 DUBLIN BLVD.
City DUBLIN
State CA
ZIP 94568
Phone 925 999-4049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Ambulatory Surgery Center
Lab Director STEVEN H. WILLIAMS, MD

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