05D2204793 CLIA NUMBER - PERSONS PLASTIC SURGERY INC

Laboratory Demographics

  • CLIA Code: 05D2204793
  • Facility Name: PERSONS PLASTIC SURGERY INC
  • Facility Address: 911 MORAGA RD #205
    LAFAYETTE, CA
    ZIP 94549
  • Facility Phone: 925 283-4012
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BARBARA L. PERSONS
  • NPI Number: 1114230364
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2204793
LAB Type Ambulatory Surgery Center
Facility Name PERSONS PLASTIC SURGERY INC
Street 911 MORAGA RD #205
City LAFAYETTE
State CA
ZIP 94549
Phone 925 283-4012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Ambulatory Surgery Center
Lab Director BARBARA L. PERSONS

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