05D2299829 CLIA NUMBER - CULL CANYON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2299829
  • Facility Name: CULL CANYON SURGERY CENTER
  • Facility Address: 20998 REDWOOD RD
    CASTRO VALLEY, CA
    ZIP 94546
  • Facility Phone: 818 855-1507
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW VARGAS
  • NPI Number: 1992573513
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2299829
LAB Type Ambulatory Surgery Center
Facility Name CULL CANYON SURGERY CENTER
Street 20998 REDWOOD RD
City CASTRO VALLEY
State CA
ZIP 94546
Phone 818 855-1507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Ambulatory Surgery Center
Lab Director ANDREW VARGAS

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