05D2181865 CLIA NUMBER - EXCELSIOR SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2181865
  • Facility Name: EXCELSIOR SURGERY CENTER, LLC
  • Facility Address: 1320 EL CAPITAN DRIVE, SUITE 120
    DANVILLE, CA
    ZIP 94526
  • Facility Phone: 925 676-2600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIREN ANGLE
  • NPI Number: 1891338935
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2181865
LAB Type Ambulatory Surgery Center
Facility Name EXCELSIOR SURGERY CENTER, LLC
Street 1320 EL CAPITAN DRIVE, SUITE 120
City DANVILLE
State CA
ZIP 94526
Phone 925 676-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Ambulatory Surgery Center
Lab Director NIREN ANGLE

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