05D2297989 CLIA NUMBER - KALLOS SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2297989
  • Facility Name: KALLOS SURGERY CENTER INC
  • Facility Address: 225 POSADA LANE STE 110
    TEMPLETON, CA
    ZIP 93465
  • Facility Phone: 805 855-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES CHALEKSON
  • NPI Number: 1760169007
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2297989
LAB Type Ambulatory Surgery Center
Facility Name KALLOS SURGERY CENTER INC
Street 225 POSADA LANE STE 110
City TEMPLETON
State CA
ZIP 93465
Phone 805 855-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Ambulatory Surgery Center
Lab Director CHARLES CHALEKSON

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