05D2172914 CLIA NUMBER - ALMA AT ADDISON SURGERY CENTER

Laboratory Demographics

CLIA Number: 05D2172914

Facility Name: ALMA AT ADDISON SURGERY CENTER

Facility Address:
105 ADDISON AVE
PALO ALTO, CA
ZIP 94301
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Facility Phone Number: (650) 327-3232

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1114400280

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2172914
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	ALMA AT ADDISON SURGERY CENTER
Street	105 ADDISON AVE
City	PALO ALTO
State	CA
ZIP	94301
Phone	(650) 327-3232

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This page was last updated on: 5/11/2023