05D2295539 CLIA NUMBER - EV SURGERY INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 05D2295539
  • Facility Name: EV SURGERY INSTITUTE LLC
  • Facility Address: 105 N BASCOM AVE STE 103
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 761-5847
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ARASH M. PADIDAR
  • NPI Number: 1538775267
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295539
LAB Type Ambulatory Surgery Center
Facility Name EV SURGERY INSTITUTE LLC
Street 105 N BASCOM AVE STE 103
City SAN JOSE
State CA
ZIP 95128
Phone 408 761-5847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Ambulatory Surgery Center
Lab Director ARASH M. PADIDAR

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