05D2265093 CLIA NUMBER - PENINSULA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2265093
  • Facility Name: PENINSULA SURGERY CENTER
  • Facility Address: 350 MARINE PARKWAY SUITE 100
    REDWOOD CITY, CA
    ZIP 94065
  • Facility Phone: 650 865-6415
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN DEARBORN
  • NPI Number: 1942433206
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2265093
LAB Type Ambulatory Surgery Center
Facility Name PENINSULA SURGERY CENTER
Street 350 MARINE PARKWAY SUITE 100
City REDWOOD CITY
State CA
ZIP 94065
Phone 650 865-6415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN DEARBORN

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