05D2211391 CLIA NUMBER - CROW CANYON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2211391
  • Facility Name: CROW CANYON SURGERY CENTER
  • Facility Address: 1320 EL CAPITAN DRIVE SUITE 110
    DANVILLE, CA
    ZIP 94526
  • Facility Phone: 925 289-8963
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SALIM M. SHELBY
  • NPI Number: 1003463118
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2211391
LAB Type Ambulatory Surgery Center
Facility Name CROW CANYON SURGERY CENTER
Street 1320 EL CAPITAN DRIVE SUITE 110
City DANVILLE
State CA
ZIP 94526
Phone 925 289-8963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Ambulatory Surgery Center
Lab Director SALIM M. SHELBY

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