05D2172914 CLIA NUMBER - ALMA AT ADDISON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2172914
  • Facility Name: ALMA AT ADDISON SURGERY CENTER
  • Facility Address: 105 ADDISON AVE
    PALO ALTO, CA
    ZIP 94301
  • Facility Phone: 650 327-3232
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID M. LIEBERMAN
  • NPI Number: 1114400280
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID M. LIEBERMAN

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